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尿动力学评估在下尿路疾病诊断中的作用。

The role of urodynamic assessment in the diagnosis of lower urinary tract disorders.

作者信息

Clarke B

机构信息

University of Queensland and Royal Women's Hospital, Herston, Brisbane, Australia.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(4):196-9. doi: 10.1007/BF02765812.

DOI:10.1007/BF02765812
PMID:9449295
Abstract

The relationship between clinical symptomatology and urodynamic findings was studied prospectively in 1000 unselected women with symptoms of lower urinary tract dysfunction. Women in the study were subjected to both clinical and multichannel urodynamic assessment. The symptom of stress incontinence was confirmed by urodynamic assessment to be associated with genuine stress incontinence (95%). However, it was also associated with sensory urgency (96%) and detrusor instability (64%). Other lower urinary tract symptoms were associated with a range of abnormal urodynamic findings. It was concluded that urodynamic assessment provided useful information in women with lower urinary tract disorders, in developing principles of diagnosis and management.

摘要

对1000名未经挑选的有下尿路功能障碍症状的女性进行了前瞻性研究,以探讨临床症状与尿动力学检查结果之间的关系。研究中的女性接受了临床和多通道尿动力学评估。尿动力学评估证实,压力性尿失禁症状与真性压力性尿失禁相关(95%)。然而,它也与感觉性尿急(96%)和逼尿肌不稳定(64%)相关。其他下尿路症状与一系列异常尿动力学检查结果相关。得出的结论是,尿动力学评估为患有下尿路疾病的女性在制定诊断和管理原则方面提供了有用信息。

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本文引用的文献

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An assessment of urodynamic examination in incontinent women.尿失禁女性的尿动力学检查评估
Br J Obstet Gynaecol. 1980 Oct;87(10):893-6. doi: 10.1111/j.1471-0528.1980.tb04443.x.
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Genuine stress incontinence and detrusor instability--a review of 200 patients.真性压力性尿失禁与逼尿肌不稳定——200例患者的综述
Br J Obstet Gynaecol. 1980 Mar;87(3):184-90. doi: 10.1111/j.1471-0528.1980.tb04515.x.
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A comparative study of symptoms and objective urodynamic findings in 214 incontinent women.214名尿失禁女性症状与客观尿动力学检查结果的对比研究
年龄对以压力性尿失禁为主的女性的储存和排空功能的影响。
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Is sensory urgency part of the same spectrum of bladder dysfunction as detrusor overactivity?感觉急迫性是否与逼尿肌过度活动属于同一膀胱功能障碍谱系?
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Feb;18(2):123-8. doi: 10.1007/s00192-006-0165-z. Epub 2006 Jul 6.
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Pelvic floor muscle strength and thickness in continent and incontinent nulliparous pregnant women.无尿失禁和有尿失禁的未生育孕妇的盆底肌肉力量和厚度
Int Urogynecol J Pelvic Floor Dysfunct. 2004 Nov-Dec;15(6):384-9; discussion 390. doi: 10.1007/s00192-004-1194-0. Epub 2004 Jul 3.
Br J Obstet Gynaecol. 1980 Oct;87(10):889-92. doi: 10.1111/j.1471-0528.1980.tb04442.x.
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The diagnosis and management of urinary incontinence in the female.女性尿失禁的诊断与管理
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Urodynamics of female incontinence: factors influencing the results of surgery.女性尿失禁的尿动力学:影响手术结果的因素
Am J Obstet Gynecol. 1973 Nov 15;117(6):805-13. doi: 10.1016/0002-9378(73)90496-1.
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The objective study of incontinence after repair operations.修复手术后尿失禁的客观研究。
Surg Gynecol Obstet. 1973 Jan;136(1):17-22.
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Clinical evaluation of the lower urinary tract.下尿路的临床评估
Clin Obstet Gynaecol. 1985 Jun;12(2):311-7.
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The value of clinical symptoms in the diagnosis of urinary incontinence in the female.临床症状在女性尿失禁诊断中的价值
Aust N Z J Obstet Gynaecol. 1987 May;27(2):149-51. doi: 10.1111/j.1479-828x.1987.tb00968.x.
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Persistent primary enuresis: a urodynamic assessment.持续性原发性遗尿症:一项尿动力学评估
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Bladder instability in women with recurrent cystitis.复发性膀胱炎女性的膀胱不稳定
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