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固有括约肌功能障碍型女性压力性尿失禁的尿动力学诊断 被引量:6

Urodynamic evaluation of female stress urinary incontinence due to intrinsic sphincter deficiency
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摘要 目的 探讨尿动力学诊断固有括约肌功能障碍型 (ISD)女性压力性尿失禁的临床价值。 方法  30例患者中Ⅲ型 11例 ,Ⅱ /Ⅲ型 (解剖和ISD混合型 ) 19例 ,分别行漏尿点测压 (LPP)和最大尿道关闭压 (MUCP)测定 ,比较分析各组数据。 结果 Ⅲ型患者中LPP <5 0cmH2 O 10例 ,Ⅱ /Ⅲ型患者中LPP 5 0~ 10 0cmH2 O 17例 ,两组LPP值差异有显著性意义 (P <0 .0 1) ;而MUCP值的分布无特异性 ,两组间差异无显著性意义 (P =0 .5 5 )。 结论 LPP值测定对于诊断ISD及尿失禁的分型有重要意义。 Objective To evaluate urodynamic diagnosis of intrinsic sphincter deficiency (ISD) in female stress urinary incontinence. Methods Leak-point pressures (LPP) and maximum urethra close pressures (MUCP) were detected in 30 patients with female stress urinary incontinence,among whom there were 11 cases with type Ⅲ,19 type Ⅱ/Ⅲ. Results Of type Ⅲ incontinence the LPP was less than 50 cmH 2O in 10 out of 11 and in 17 out of 19 type Ⅱ/Ⅲ incontinence the LPP 50~100 cmH 2O ( P <0.01).There was no significant difference between the MUCP of the two groups. Conclusions LPP determination is important in the assessment of intrinsic sphincter deficiency.
出处 《中华泌尿外科杂志》 CAS CSCD 北大核心 2003年第6期397-399,共3页 Chinese Journal of Urology
关键词 女性 尿失禁 括约肌功能障碍 尿动力学 Urinary incontinence Famale Urodynamics
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