Prajsner A, Radziszewski P
I Katedry i Kliniki Urologii Slaskiej Akademii Medycznej w Katowicach.
Wiad Lek. 1998;51(5-6):254-9.
The aim of our studies was the evaluation of diagnostic usefulness of the 1-hour pad weight test in the different types of female incontinence. We examined 189 women at the age from 16 to 74 with the incontinence in anamnesis. The test was performed accordingly to the I.C.S. guidelines. The positive result of the test (more that 2 grams increase in the pad weigh) was found in 136 (71.6%) of examined women; including moderate urine leak in 24%, big in 55.1% and severe in 20.6% of them. The biggest average increase in pad weigh was found in urinary incontinence associated with the urgency, corresponding to 88.9 g in mixed incontinence and to 67.4 g in genuine urge incontinence. The sensitivity, specificity and efficacy of the test was 78.6%, 72% and 77% respectively. The shortened 1-hour pad weigh test is a simple and effective examination, especially in the stress incontinence. It is less effective in genuine urge incontinence and giggle incontinence. The negative effect of the 1-hour test, when the patients complaints coexist, should be the indication to repeat the test or to perform the 24-hour test. In the doubtful cases, before the surgery, the diagnostics should be extended to the full urodynamic examination.
我们研究的目的是评估1小时护垫重量试验在不同类型女性尿失禁中的诊断效用。我们检查了189名年龄在16至74岁、有尿失禁病史的女性。该试验按照国际尿控学会（I.C.S.）的指南进行。在136名（71.6%）受检女性中发现试验结果为阳性（护垫重量增加超过2克）；其中24%为中度漏尿，55.1%为重度漏尿，20.6%为极重度漏尿。在与尿急相关的尿失禁中，护垫重量的平均增加最大，混合性尿失禁中为88.9克，真性急迫性尿失禁中为67.4克。该试验的敏感性、特异性和有效性分别为78.6%、72%和77%。缩短的1小时护垫重量试验是一种简单有效的检查方法，尤其适用于压力性尿失禁。在真性急迫性尿失禁和大笑性尿失禁中效果较差。当患者有相关症状时，1小时试验的阴性结果应提示重复试验或进行24小时试验。在可疑病例中，手术前应进行全面的尿动力学检查以明确诊断。
