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目的探讨尿动力学检查在女性压力性尿失禁诊疗中的意义。方法回顾分析2013年6月—2014年6月62例初步诊断为压力性尿失禁女性患者的尿动力学检查结果。结果 62例患者中经尿动力学检查明确为单纯性压力性尿失禁者53例,压力性尿失禁合并逼尿肌不稳定9例,单纯性压力性尿失禁者中,逼尿肌收缩力减低及逼尿肌无力2例,可疑下尿路梗阻3例。结论女性压力性尿失禁患者,术前行尿动力学检查可进一步明确诊断尤其是合并症的诊断,对于正确选择适应症、获得满意治疗效果、科学评估预后均有重要意义。
Objective To investigate the significance of urodynamic examination in the diagnosis and treatment of female stress urinary incontinence. Methods The urodynamic results of 62 patients with primary urinary incontinence diagnosed from June 2013 to June 2014 were analyzed retrospectively. Results Among the 62 patients, 53 cases of simple stress urinary incontinence and 9 cases of stress urinary incontinence with detrusor instability were identified by urodynamic examination. The contractility of detrusor was decreased in patients with simple urinary incontinence And detrusor muscle weakness in 2 cases, suspected urinary tract obstruction in 3 cases. Conclusions Female stress urinary incontinence patients, preoperative urodynamic examination can further confirm the diagnosis, especially the diagnosis of comorbidities, for the correct choice of indications, to obtain satisfactory treatment, scientific evaluation of prognosis are of great significance.