Kojima M, Inui E, Ochial A, Ukimura O, Watanabe H
Department of Urology, Kyoto Prefectural University of Medicine, Japan.
Neurourol Urodyn. 1996;15(6):641-9. doi: 10.1002/(SICI)1520-6777(1996)15:6<641::AID-NAU5>3.0.CO;2-F.
In 25 patients with detrusor areflexia, ultrasonically-estimated bladder weight (UEBW) was compared with bladder capacity and compliance obtained by cystometry, and UEBW was also compared with grade of bladder deformity as evaluated by cystography. UEBW correlated significantly with compliance (P < 0.01) and degree of bladder deformity (P < 0.01). Taking a cutoff value of 40 g, UEBW revealed diagnostic accuracy as high as 96% and 80% for low-compliance (< 10 ml/cm H2O) and high-grade deformity (grade II/III), respectively. UEBW could be a new urodynamic parameter capable of evaluating functional as well as morphological changes of the bladder.
在25例逼尿肌无反射患者中,将超声估计膀胱重量(UEBW)与通过膀胱测压获得的膀胱容量和顺应性进行比较,并将UEBW与膀胱造影评估的膀胱畸形程度进行比较。UEBW与顺应性(P < 0.01)和膀胱畸形程度(P < 0.01)显著相关。以40 g为临界值,UEBW对低顺应性(< 10 ml/cm H2O)和高度畸形(II/III级)的诊断准确率分别高达96%和80%。UEBW可能是一种能够评估膀胱功能和形态变化的新尿动力学参数。