目的:初步确定老年女性尿失禁的《国际功能、残疾和健康分类》(International Classification of Functioning,Disability and Health,ICF)核心类目。方法:检索中外数据库中关于老年女性尿失禁相关文献,由2名专业研究人员对文献中的概...目的:初步确定老年女性尿失禁的《国际功能、残疾和健康分类》(International Classification of Functioning,Disability and Health,ICF)核心类目。方法:检索中外数据库中关于老年女性尿失禁相关文献,由2名专业研究人员对文献中的概念进行提取,而后进一步与相关ICF类目对应,制定初步调查问卷。邀请100例符合条件的尿失禁患者填写调查问卷,将超过30%尿失禁患者认为对自己有影响的类目制成核心类目Ⅰ。向35位相关医疗工作者发送问卷,将超过50%医疗工作人员认为的影响老年女性尿失禁的类目汇总为核心类目Ⅱ。核心类目Ⅰ和Ⅱ相重叠的部分作为老年女性尿失禁ICF核心类目。结果:老年女性尿失禁的ICF核心类目共有29个,其中“身体功能”8个,“身体结构”2个,“活动和参与”8个,“环境因素”11个。结论:初步构建了老年女性尿失禁的ICF核心类目集,为临床开展循证康复管理提供了可操作的理论模型。展开更多
目的:观察研究经闭孔尿道球部悬吊术治疗男性前列腺术后尿失禁的效果。方法:回访在上海交通大学医学院附属第九人民医院接受经闭孔尿道球部悬吊术治疗的49例男性前列腺术后尿失禁患者,对比患者术前及术后的每日尿垫使用量、24 h漏尿量...目的:观察研究经闭孔尿道球部悬吊术治疗男性前列腺术后尿失禁的效果。方法:回访在上海交通大学医学院附属第九人民医院接受经闭孔尿道球部悬吊术治疗的49例男性前列腺术后尿失禁患者,对比患者术前及术后的每日尿垫使用量、24 h漏尿量、尿失禁生活质量问卷(Incontinence Quality of Life Questionnaire,I-QOL)评分及国际尿失禁咨询委员会尿失禁问卷简表(International Consultation on Incontinence Questionnaire Short Form,ICI-Q-SF)得分。结果:纳入的49例患者中完全治愈42例,明显改善5例,手术无效2例。患者术前每日尿垫使用量为(3.7±1.0)块,24 h漏尿量为(138.4±37.3)g,I-QOL评分为(51.3±10.9)分,ICI-Q-SF得分为(16.1±1.9)分;患者术后每日尿垫使用量为(0.3±0.8)块,24 h漏尿量为(8.9±24.3)g,I-QOL评分为(93.7±7.9)分,ICI-Q-SF得分为(3.4±3.8)分。患者术后的每日尿垫使用量、24 h漏尿量、I-QOL评分及ICI-Q-SF得分较术前均有明显改善,差异有统计学意义(P<0.05)。患者围术期及术后均未见明显严重并发症。结论:经闭孔尿道球部悬吊术对男性前列腺术后尿失禁的治愈率较高,值得临床广泛推广。展开更多
Fecal incontinence is a common condition that can significantly impact patients’quality of life.Obstetric anal sphincter injury and anorectal surgeries are common etiologies.Endoanal ultrasound and anorectal manometr...Fecal incontinence is a common condition that can significantly impact patients’quality of life.Obstetric anal sphincter injury and anorectal surgeries are common etiologies.Endoanal ultrasound and anorectal manometry are important diagnostic tools for evaluating patients.There are various treatment options,including diet,lifestyle modifications,drugs,biofeedback therapy,tibial and sacral nerve neuromodulation therapy,and surgery.In this editorial,we will discuss current controversies and novel approaches to fecal incontinence.Screening for asymptomatic anal sphincter defects after obstetric anal sphincter injury and in patients with inflammatory bowel disease is not generally recommended,but may be helpful in selected patients.The Garg incontinence score is a new score that includes the assessment of solid,liquid,flatus,mucous,stress and urge fecal incontinence.Novel tests such as translumbosacral anorectal magnetic stimulation and novel therapies such as translumbosacral neuromodulation therapy are promising diagnostic and treatment options,for both fecal incontinence and neuropathy.Home biofeedback therapy can overcome some limitations of the office-based therapy.Skeletal muscle-derived cell implantation of the external anal sphincter has been further studied as a possible treatment option.Sacral neuromodulation may be useful in scleroderma,congenital fecal incontinence and inflammatory bowel disease but merits further study.展开更多
文摘目的:初步确定老年女性尿失禁的《国际功能、残疾和健康分类》(International Classification of Functioning,Disability and Health,ICF)核心类目。方法:检索中外数据库中关于老年女性尿失禁相关文献,由2名专业研究人员对文献中的概念进行提取,而后进一步与相关ICF类目对应,制定初步调查问卷。邀请100例符合条件的尿失禁患者填写调查问卷,将超过30%尿失禁患者认为对自己有影响的类目制成核心类目Ⅰ。向35位相关医疗工作者发送问卷,将超过50%医疗工作人员认为的影响老年女性尿失禁的类目汇总为核心类目Ⅱ。核心类目Ⅰ和Ⅱ相重叠的部分作为老年女性尿失禁ICF核心类目。结果:老年女性尿失禁的ICF核心类目共有29个,其中“身体功能”8个,“身体结构”2个,“活动和参与”8个,“环境因素”11个。结论:初步构建了老年女性尿失禁的ICF核心类目集,为临床开展循证康复管理提供了可操作的理论模型。
文摘目的:观察研究经闭孔尿道球部悬吊术治疗男性前列腺术后尿失禁的效果。方法:回访在上海交通大学医学院附属第九人民医院接受经闭孔尿道球部悬吊术治疗的49例男性前列腺术后尿失禁患者,对比患者术前及术后的每日尿垫使用量、24 h漏尿量、尿失禁生活质量问卷(Incontinence Quality of Life Questionnaire,I-QOL)评分及国际尿失禁咨询委员会尿失禁问卷简表(International Consultation on Incontinence Questionnaire Short Form,ICI-Q-SF)得分。结果:纳入的49例患者中完全治愈42例,明显改善5例,手术无效2例。患者术前每日尿垫使用量为(3.7±1.0)块,24 h漏尿量为(138.4±37.3)g,I-QOL评分为(51.3±10.9)分,ICI-Q-SF得分为(16.1±1.9)分;患者术后每日尿垫使用量为(0.3±0.8)块,24 h漏尿量为(8.9±24.3)g,I-QOL评分为(93.7±7.9)分,ICI-Q-SF得分为(3.4±3.8)分。患者术后的每日尿垫使用量、24 h漏尿量、I-QOL评分及ICI-Q-SF得分较术前均有明显改善,差异有统计学意义(P<0.05)。患者围术期及术后均未见明显严重并发症。结论:经闭孔尿道球部悬吊术对男性前列腺术后尿失禁的治愈率较高,值得临床广泛推广。
文摘Fecal incontinence is a common condition that can significantly impact patients’quality of life.Obstetric anal sphincter injury and anorectal surgeries are common etiologies.Endoanal ultrasound and anorectal manometry are important diagnostic tools for evaluating patients.There are various treatment options,including diet,lifestyle modifications,drugs,biofeedback therapy,tibial and sacral nerve neuromodulation therapy,and surgery.In this editorial,we will discuss current controversies and novel approaches to fecal incontinence.Screening for asymptomatic anal sphincter defects after obstetric anal sphincter injury and in patients with inflammatory bowel disease is not generally recommended,but may be helpful in selected patients.The Garg incontinence score is a new score that includes the assessment of solid,liquid,flatus,mucous,stress and urge fecal incontinence.Novel tests such as translumbosacral anorectal magnetic stimulation and novel therapies such as translumbosacral neuromodulation therapy are promising diagnostic and treatment options,for both fecal incontinence and neuropathy.Home biofeedback therapy can overcome some limitations of the office-based therapy.Skeletal muscle-derived cell implantation of the external anal sphincter has been further studied as a possible treatment option.Sacral neuromodulation may be useful in scleroderma,congenital fecal incontinence and inflammatory bowel disease but merits further study.
