北京大学学报（医学版）2016，Vol.48Issue(4)：655-658,4.DOI:10.3969/j.issn.1671-167X.2016.04.017
女性压力性尿失禁患者术前尿动力学检查的意义
Significance of preoperative urodynamics for clinical diagnosis of female patients with stress urinary incontinence
张维宇 1胡浩 1王起 1陈京文 1许克新1
作者信息
- 1. 北京大学人民医院泌尿外科，北京 100044
- 折叠
摘要
Abstract
Objective:To investigate the impact of preoperative urodynamic study on the diagnosis and treatment for female patients with clinical diagnosis of stress urinary incontinence by studying their diag-nosis and treatment database,and to assess its clinical significance of urodynamic study.Methods:From April 2011 to December 2015,196 female patients diagnosed clinically with stress urinary incontinence underwent preoperative urodynamics study,after excluding pelvic organ prolapse.The preoperative uro-dynamic data of these 196 cases were analyzed and the clinical significance of urodynamics on differential diagnosis and treatment for the female patients with stress urinary incontinence was evaluated.Results:In this study,23 cases (11.73%)changed or amended their diagnoses by the urodynamic study,which were inconsistent with the previous clinical diagnoses concluded by the symptoms,physical examinations, and lab tests.A total of 10 cases underwent a different surgery or conservative treatment instead of the original treatment according to urodynamic study.Of them,3 were diagnosed as detrusor overactive and undertook conservative treatment;3 were diagnosed as bladder outlet obstruction plus stress urinary in-continence and were undertaken the transurethral resection of the bladder neck (TURBN)plus tension free vaginal tape (TVT);2 were diagnosed as bladder outlet obstruction plus stress urinary incontinence and were undertaken TURBN alone;1 was diagnosed as bladder outlet obstruction plus stress urinary in-continence and was undertaken TURBN plus tension free vaginal tape obturator (TOT);1 was found no abnormal bladder function turned out to be interstitial cystitis and went for a bladder instillation of drug. The changed treatments avoided the risk of dysuria or residual urine increased after operation due to inap-propriate surgical methods.Conclusion:In order to make a correct diagnosis and suitable treatment for female patients with stress urinary incontinences,the preoperative urodynamic study is necessary besides detailed medical history,physical examination,and laboratory tests.With the help of the urodynamic study,the concomitant diseases of patients with stress urinary incontinence may be detected,the individualized treatment regimen can be developed,and more importantly,the inappropriate surgical de-cision can be avoided.关键词
尿动力学/尿失禁,压力性/手术前期Key words
Urodynamics/Urinary incontinence,stress/Preoperative period分类
医药卫生引用本文复制引用
张维宇,胡浩,王起,陈京文,许克新..女性压力性尿失禁患者术前尿动力学检查的意义[J].北京大学学报（医学版）,2016,48(4):655-658,4.
