Larosa M, Simonazzi M, Pozzoli G L, Sebastio N, Cortellini P
Divisione di Urologia di Parma, Azienda Ospedaliera di Parma.
Arch Ital Urol Androl. 1998 Apr;70(2):71-5.
We evaluated one-hundred and forty-six women with stress urinary incontinence (SUI), mean age 61.5 years, with clinical examination, urodynamics and patient history, grading the subjective degree of SUI according to SEAPI QMM classification. SUI was grade 1 in 73 pts (mean LPP 107, 7 cmH2O, mean maximal urethral closure pressure 59, 13 cmH2O), grade 2 in 36 (mLPP 55, 4 cmH2O, mMUCP 50, 3 cmH2O), grade 3 in 37 (mLPP 32, 29 cmH2O, mMUCP 33, 76 cmH2O). There is statistically significant difference in mLPP (p = 0.001) and mMUCP (p = 0.02) among three groups. The grade of SUI increases as the likelihood that LPP will be < or = 90 cmH2O or < or = 60 cmH2O (72.2% of pts with grade 2 has a LPP < or = 60 cmH2O, 100% of pts with grade 3 has a LPP < or = 60 cmH2O). Women with severe leakage and/or predisposing factor (PF) to intrinsic sphincter deficiency are likely to have a low LPP: all patients with SUI grade 3 and PF have a LPP < or = 60 cmH2O, 77% of pts with SUI grade 3 or PF has a LPP < or = 60 cmH2O. Women with higher grades of leakage and PF are significantly more likely to have a very low LPP and intrinsic sphincter deficiency.
我们对146名压力性尿失禁（SUI）女性患者进行了评估，她们的平均年龄为61.5岁，通过临床检查、尿动力学检查和患者病史，根据SEAPI QMM分类对SUI的主观程度进行分级。73名患者的SUI为1级（平均漏尿点压力[LPP]为107.7cmH₂O，平均最大尿道闭合压为59.13cmH₂O），36名患者为2级（mLPP为55.4cmH₂O，mMUCP为50.3cmH₂O），37名患者为3级（mLPP为32.29cmH₂O，mMUCP为33.76cmH₂O）。三组之间的mLPP（p = 0.001）和mMUCP（p = 0.02）存在统计学显著差异。随着LPP≤90cmH₂O或≤60cmH₂O可能性的增加，SUI的分级升高（2级患者中有72.2%的LPP≤60cmH₂O，3级患者中有100%的LPP≤60cmH₂O）。有严重漏尿和/或存在内在括约肌缺陷易感因素（PF）的女性可能LPP较低：所有3级SUI且有PF的患者LPP≤60cmH₂O，77%的3级SUI或有PF的患者LPP≤60cmH₂O。漏尿分级和PF较高的女性更有可能LPP极低且存在内在括约肌缺陷。
