Cummings J M, Boullier J A, Parra R O, Wozniak-Petrofsky J
Division of Urology, St. Louis University School of Medicine, Missouri, USA.
J Urol. 1997 Mar;157(3):818-20.
We examined the relationship between historical factors in women with urinary stress incontinence and the Valsalva leak point pressure.
Valsalva leak point pressure measurements in 57 women with urinary stress incontinence were compared to findings in the history.
Valsalva leak point pressure was low in 83% of women with severe leakage and previous surgery. Interestingly, 47% of patients without predisposing factors had low Valsalva leak point pressures.
Women with severe leakage and previous bladder neck surgery are likely to have urethral dysfunction as demonstrated by Valsalva leak point pressure testing. A significant incidence of low Valsalva leak point pressures in patients without predisposing factors could account for many failures of routine suspension procedures.
我们研究了压力性尿失禁女性的历史因素与瓦尔萨尔瓦漏点压力之间的关系。
对57例压力性尿失禁女性的瓦尔萨尔瓦漏点压力测量结果与病史检查结果进行了比较。
83%有严重漏尿和既往手术史的女性瓦尔萨尔瓦漏点压力较低。有趣的是，47%无诱发因素的患者瓦尔萨尔瓦漏点压力较低。
如瓦尔萨尔瓦漏点压力测试所示，有严重漏尿和既往膀胱颈手术史的女性可能存在尿道功能障碍。无诱发因素的患者中瓦尔萨尔瓦漏点压力较低的发生率较高，这可能是常规悬吊手术失败的主要原因。
