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定量评价尿失禁对其初步诊断和疗效判断均甚重要。迄今在诊断上常用的应力试验和排泄性膀胱尿道造影术尚不能证实尿失禁,也不能做精确定量。1983年国际节制协会介绍了一小时测尿垫重量试验。本文目的为判断其适用性、与患者主观估计失尿量比较、对个别患者做实验复制和与常规方法进行比较。本文对81例患尿失禁妇女做一小时测尿垫重量试验,同时常规进行病史、妇科检查、排泄性膀胱尿道造影术和尿动力学研究(膀胱内压测量和压力流试验)。81例患者平均年龄55岁(17~82岁),尿失禁类型分别为张力型31例,强迫型24例,混合型26例。共做试验126次(48人1次,24人2次,6人3次,3人4次)。尿动力学分析证实36人逼尿肌不稳定,40人为真性应力失禁,5例为排泄型梗
Quantitative evaluation of urinary incontinence is very important for the initial diagnosis and curative effect judgment. So far in the diagnosis of stress tests commonly used and urinary bladder urethroplasty still can not confirm urinary incontinence, can not do accurate quantification. 1983 International Consensus Association introduced one hour urine test pad weight test. The purpose of this paper is to determine its applicability, compared with subjective estimates of patients with urine loss, experimental replication of individual patients and compared with conventional methods. In this paper, 81 cases of urinary incontinence women do one hour urine test pad weight test, while routine medical history, gynecological examination, urinary bladder and urethroplasty and urodynamics (bladder pressure measurement and pressure flow test). The average age of 81 patients was 55 years (17-82 years). The types of urinary incontinence were Tension type in 31 cases, Forced type in 24 cases and Mixed type in 26 cases. A total of 126 trials (48 people 1 time, 24 people 2 times, 6 people 3 times, 3 people 4 times). Urodynamic analysis confirmed that 36 detrusor instability, 40 were true stress incontinence, 5 were excretory stem