Fantl J A, Hurt W G, Beachley M C, Bosch H A, Konerding K F, Smith P J
Obstet Gynecol. 1981 Aug;58(2):237-40.
The role of cystourethrography in the evaluation of urinary incontinence is controversial. This study evaluates the significance of 5 radiologic landmarks described in the literature as characteristic of stress urinary incontinence. It was expected to determine how often these landmarks were read similarly by independent observers and whether these radiologic findings in patients with stress urinary incontinence differ from those in patients with idiopathic detrusor instability. Eight-three cystourethrograms of patients having either stress urinary incontinence of idiopathic detrusor instability were reviewed. Three radiologists interpreted 5 radiologic landmarks on each study. Lack of identification and of agreement in interpretation by all 3 investigators varied from 19.3 to 54.2%. There were no statistically significant difference in the distribution of radiographic characteristics between patients with stress urinary incontinence and those with idiopathic detrusor instability.
膀胱尿道造影术在评估尿失禁中的作用存在争议。本研究评估了文献中描述的作为压力性尿失禁特征的5个放射学标志的意义。期望确定这些标志在独立观察者之间被相似解读的频率，以及压力性尿失禁患者的这些放射学表现是否与特发性逼尿肌不稳定患者的表现不同。回顾了83例患有压力性尿失禁或特发性逼尿肌不稳定的患者的膀胱尿道造影。三位放射科医生对每项研究中的5个放射学标志进行解读。所有3名研究者在识别和解读一致性方面的差异为19.3%至54.2%。压力性尿失禁患者与特发性逼尿肌不稳定患者的影像学特征分布无统计学显著差异。
