Kremling H, Halbach G, Mai H, Dornhöfer W
Med Klin. 1978 May 19;73(20):755-9.
In 321 women with the symptoms of a stress-incontinence we tried to find out if specific methods can reform the diagnostic. By clinical tests an urinary incontinence could be shown only in 71.1%. The results from urethrocystography (169 patients) and simultane measuring of pressure in urethra and urinary bladder (222 patients) are compared with the results of the clinical examination of urine incontinence. According to the method used, the urethrocystography was corresponding with the positive clinical test between 75.9 and 93.5%, the measuring of the pressure in 87.4%. In negative clinical tests a stress-incontinence could be diagnosed or be excluded by combined radiological, tonometrical and endoscopical examinations. Urethrocystography and simultane measuring of pressure complement one another, they are no competitive methods. Our investigations further showed that the upper urogenital tract is cooperating in stress-incontinence. In the infusion-urogram 19.7% of the patients showed signs of chronic pyelonephritis, 15.3% had no urinary insufficience. 22.6% were suspect to have a chronic pyelonephritis. Finally the worth of diagnostic methods on therapeutic actions is discussed.
在321名有压力性尿失禁症状的女性中，我们试图找出特定方法是否能改进诊断。通过临床检查，仅71.1%的患者显示有尿失禁。将169例患者的尿道膀胱造影结果以及222例患者同时测量尿道和膀胱压力的结果与尿失禁临床检查结果进行比较。根据所采用的方法，尿道膀胱造影与阳性临床检查结果的相符率在75.9%至93.5%之间，压力测量的相符率为87.4%。在临床检查结果为阴性的情况下，通过联合放射学、压力测量学和内镜检查可以诊断或排除压力性尿失禁。尿道膀胱造影和同时测量压力相辅相成，并非相互竞争的方法。我们的研究还表明，上泌尿生殖道在压力性尿失禁中发挥作用。在静脉肾盂造影中，19.7%的患者显示有慢性肾盂肾炎迹象，15.3%无尿路功能不全。22.6%的患者疑似患有慢性肾盂肾炎。最后讨论了诊断方法对治疗措施的价值。
