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目的应用加压尿道压力测定(SUPP)方法诊断真性压力性尿失禁(GSI),并评价其手术疗效。方法对22例临床诊断为GSI的患者进行SUPP及静态尿道压力测定(RUPP),比较其结果,并对5例接受手术治疗的女性患者术后再次进行SUPP,以17例正常女性作为对照组。结果22例患者SUPP结果中尿道闭合压(UCP)为-062±022kPa,压力传导率(PTR)为068±006;与RUPP比较SUPP对GSI的诊断阳性率为900%,高于RUPP的773%;两者的诊断符合率为682%;RUPP阳性而SUPP阴性者2例,相反者有5例。5例GSI女性患者经手术治疗后,SUPP测定各参数明显改善,各患者术前、术后UCP及PTR明显增高。结论SUPP在GSI的诊断与疗效评价中均具有一定意义,但也具有某些局限性;临床应用时应与其它方法结合使用,以提高诊断水平
Objective To evaluate the surgical treatment of true stress urinary incontinence (GSI) by the method of pressurized urethral pressure measurement (SUPP). Methods Twenty-two patients with clinically diagnosed GSI underwent SUPP and static urethral pressure measurement (RUPP). The results were compared. Five female patients undergoing surgery were again treated with SUPP, and 17 normal women served as control group. Results The results of SUPP showed that the UCP was -0.62 ± 0.22 kPa and the PTR was 0.68 ± 0. 06. The positive rate of SUPP in detecting GSI was 90% 0%, higher than 773% of RUPP; the diagnostic coincidence rate of the two was 682%; 2 cases were positive for RUPP and 2 cases of negative for SUPP, and 5 cases were opposite. In 5 cases of GSI female patients after surgery, the parameters of SUPP were significantly improved, and the preoperative and postoperative UCP and PTR were significantly increased in all patients. Conclusion SUPP has some significance in the diagnosis and evaluation of GSI, but it also has some limitations. In clinical application, SUPP should be combined with other methods to improve the diagnostic level