通过患者病史对逼尿肌不稳定和压力性尿失禁进行鉴别诊断：重新审视高登兹尿失禁问卷
Differential diagnosis of detrusor instability and stress-incontinence by patient history: the Gaudenz-Incontinence-Questionnaire revisited.
作者信息
Haeusler G, Hanzal E, Joura E, Sam C, Koelbl H
机构信息
Department of Gynecology and Obstetrics, Medical School, University of Vienna, Austria.
出版信息
Acta Obstet Gynecol Scand. 1995 Sep;74(8):635-7. doi: 10.3109/00016349509013477.
OBJECTIVE
To evaluate the validity of the Gaudenz-Incontinence-Questionnaire in the differential diagnosis of genuine stress-incontinence and detrusor instability.
DESIGN
Diagnoses based on questionnaire-results were compared to those following complete urogynecologic assessment including urodynamics in 1938 patients with lower urinary tract symptoms.
RESULTS
Sensitivity and specificity for diagnosis of stress-incontinence were 0.559 and 0.447, respectively, for detrusor instability 0.615 and 0.563, respectively.
CONCLUSION
The low sensitivity and specificity of the test do not justify its use as a diagnostic tool in patients with urinary incontinence. These results show that the scores may be misleading in a large proportion of patients and should not therefore be the only determinant of diagnosis, nor should strategies be based on history alone.
目的
评估高登兹尿失禁问卷在真性压力性尿失禁和逼尿肌不稳定鉴别诊断中的有效性。
设计
将基于问卷结果的诊断与1938例下尿路症状患者进行包括尿动力学检查在内的完整泌尿妇科评估后的诊断结果进行比较。
结果
压力性尿失禁诊断的敏感性和特异性分别为0.559和0.447，逼尿肌不稳定诊断的敏感性和特异性分别为0.615和0.563。
结论
该测试的低敏感性和特异性使其不能作为尿失禁患者的诊断工具。这些结果表明，该评分在很大一部分患者中可能会产生误导，因此不应作为诊断的唯一决定因素，也不应仅基于病史制定治疗策略。
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