Escobar del Barco L, Rodriguez Colorado S, Kunhardt Rasch J, Delgado Urdapilleta J
Médico adscrito a la Clínica de Urología Gineológica.
Ginecol Obstet Mex. 1996 Mar;64:117-9.
We evaluated the accuracy of the Q-tip test to measure uretrhovesical junction mobility in patient's histories of urinary incontinence, and pelvic relaxation. A retrospective study of 183 files of patients with urinary incontinence and anterior vaginal wall relaxation in the Instituto Nacional de Perinatología (INPer) between march 1994 and may 1995. All patients underwent a systematic diagnosis evaluation with detailed history and physical examination including Q-test, neurology examination, urinary, urine culture, uretrhoscopy and urodinamic studies. We correlated Q-tip test pelvic relaxation to measure urethrovesical junction mobility. They were placed in three groups. Group I formed by stres incontinence, group II formed by mixed incontinence and group III formed by recurrent incontinence. Mean age 46.3 years (29-72), almost all the patients were multiparas, menopausal status in 72, with hormonal treatment 48. Q-tip test was not different between the groups. Group I had cystocele II with hipermobility statistically significant difference, the same in group II. No differences were found in the group III. We concluded that urethral position and mobility as measure by the Q-tip test are related to defects in interior vaginal support, but not to specific urologic diagnosis.
我们评估了棉签试验在测量尿失禁和盆腔松弛患者病史中尿道膀胱连接部活动度方面的准确性。对1994年3月至1995年5月期间国立围产医学研究所（INPer）183例尿失禁和阴道前壁松弛患者的病历进行回顾性研究。所有患者均接受了系统的诊断评估，包括详细的病史和体格检查，其中包括Q试验、神经学检查、尿液检查、尿培养、尿道镜检查和尿动力学研究。我们将棉签试验与盆腔松弛相关联，以测量尿道膀胱连接部的活动度。患者被分为三组。第一组由压力性尿失禁患者组成，第二组由混合性尿失禁患者组成，第三组由复发性尿失禁患者组成。平均年龄46.3岁（29 - 72岁），几乎所有患者均为经产妇，72例处于绝经状态，48例接受激素治疗。三组之间棉签试验结果无差异。第一组膀胱膨出II级且活动度过高，差异有统计学意义，第二组情况相同。第三组未发现差异。我们得出结论，通过棉签试验测量的尿道位置和活动度与阴道内支撑缺陷有关，但与特定的泌尿外科诊断无关。
