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一种外置尿道装置对真性压力性尿失禁女性的疗效。

Efficacy of an external urethral device in women with genuine stress urinary incontinence.

作者信息

Versi E, Harvey M A

机构信息

Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA 02115, USA.

出版信息

Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(5):271-4. doi: 10.1007/BF01901505.

DOI:10.1007/BF01901505
PMID:9849759
Abstract

The efficacy of a new external anti-incontinence device in patients with a videourodynamic diagnosis of genuine stress incontinence (GSI) in an open longitudinal study is reported. Fourteen women with GSI underwent assessment before and after 3-4 weeks of device use. Assessment consisted of visual analog scores (VAS), quality of life (QOL) questionnaires, urine for culture and a 1 hour pad test. VAS scores showed a significant improvement for the symptom of stress incontinence (P<0.05). QOL scores improved significantly by 38% (P<0.05) and 29% (P<0.01) for the Incontinence Impact Questionnaire and Urogenital Distress Inventory, respectively. The mean pad weight decreased by 47% (P=0.056). Of the 9 women who had a positive pad test (>2 g) without the device, 5 were dry (<2 g) with the device (P<0.05). These preliminary data suggest that this device is effective in women with GSI.

摘要

在一项开放性纵向研究中,报告了一种新型外部抗尿失禁装置对经视频尿动力学诊断为真性压力性尿失禁(GSI)患者的疗效。14名GSI女性患者在使用该装置3 - 4周前后接受了评估。评估包括视觉模拟评分(VAS)、生活质量(QOL)问卷、尿培养以及1小时的尿垫试验。VAS评分显示压力性尿失禁症状有显著改善(P<0.05)。尿失禁影响问卷和泌尿生殖系统困扰量表的QOL评分分别显著提高了38%(P<0.05)和29%(P<0.01)。平均尿垫重量下降了47%(P = 0.056)。在9名未使用该装置时尿垫试验阳性(>2 g)的女性中,有5名使用该装置后尿垫干燥(<2 g)(P<0.05)。这些初步数据表明该装置对GSI女性有效。

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引用本文的文献

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Incontinence-specific quality of life measures used in trials of treatments for female urinary incontinence: a systematic review.女性尿失禁治疗试验中使用的特定于失禁的生活质量测量:一项系统综述。
Int Urogynecol J Pelvic Floor Dysfunct. 2006 May;17(3):272-85. doi: 10.1007/s00192-005-1357-7. Epub 2005 Jul 16.

本文引用的文献

1
A new external urethral occlusive device for female urinary incontinence.一种用于女性尿失禁的新型外部尿道阻塞装置。
Obstet Gynecol. 1998 Aug;92(2):286-91. doi: 10.1016/s0029-7844(98)00165-3.
2
Long-term efficacy and safety of a disposable vaginal device (continence guard) in the treatment of female stress incontinence.一次性阴道装置(尿失禁防护器)治疗女性压力性尿失禁的长期疗效及安全性
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(3):130-2; discussion 133. doi: 10.1007/BF02764843.
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Preliminary experience with a urinary control device in the management of women with genuine stress incontinence.
一种尿控装置用于治疗真性压力性尿失禁女性患者的初步经验。
Br J Urol. 1997 Nov;80(5):752-6. doi: 10.1046/j.1464-410x.1997.00430.x.
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Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group.尿失禁女性的健康相关生活质量测量:失禁影响问卷和泌尿生殖系统困扰量表。女性控尿项目(CPW)研究小组。
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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
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The accuracy of clinical diagnoses assessed urodynamically.通过尿动力学评估的临床诊断准确性。
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