女性尿道括约肌机制的膀胱镜检查表现与功能完整性的相关性。
Correlation of the cystoscopic appearance and functional integrity of the female urethral sphincteric mechanism.
作者信息
Govier F E, Pritchett T R, Kornman J D
机构信息
Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, Washington.
出版信息
Urology. 1994 Aug;44(2):250-3. doi: 10.1016/s0090-4295(94)80142-8.
OBJECTIVES
Urologists in the past, and many today, rely on the cystoscopic appearance of the female urethra as a guide to its functional integrity. To assess the accuracy of this approach better, we compared the cystoscopic appearance of the bladder neck and proximal urethra to the functional integrity of this mechanism during videourodynamic studies.
METHODS
One hundred consecutive videourodynamic studies were reviewed on female patients with more complex types of urinary incontinence. Reports of their cystoscopic examinations were reviewed and results compared.
RESULTS
Significant dysfunction of the intrinsic mechanism was noted in 36% of the patients (26% moderate dysfunction and 10% severe dysfunction) on video studies. Cystoscopy underestimated these deficits 74% and 44% of the time, respectively, in the moderate and severe dysfunction groups.
CONCLUSIONS
We conclude that the cystoscopic appearance of the bladder neck proximal urethra cannot predict the functional integrity of this mechanism.
目的
过去以及现在的许多泌尿科医生都依靠女性尿道的膀胱镜检查表现来判断其功能完整性。为了更好地评估这种方法的准确性，我们在影像尿动力学研究中，将膀胱颈和近端尿道的膀胱镜检查表现与该机制的功能完整性进行了比较。
方法
对100例患有更复杂类型尿失禁的女性患者的连续影像尿动力学研究进行了回顾。回顾了她们的膀胱镜检查报告并比较了结果。
结果
影像研究显示，36%的患者存在内在机制的明显功能障碍（26%为中度功能障碍，10%为重度功能障碍）。在中度和重度功能障碍组中，膀胱镜检查分别在74%和44%的情况下低估了这些功能缺陷。
结论
我们得出结论，膀胱颈近端尿道的膀胱镜检查表现无法预测该机制的功能完整性。
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