简易尿动力学检查在女性压力性尿失禁诊断中的意义  

Simplified urodynamic test for stress urinary incontinence

作　　者：海宁[1] 朱兰[1] 郎景和[1] 史欣文[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院妇产科,100730

出　　处：《中华全科医师杂志》2009年第3期197-199,共3页Chinese Journal of General Practitioners

摘　　要：对50例通过压力试验证实有腹压增加下尿失禁的患者先行简易尿动力学检查后行标准尿动力学检查。以标准尿动力学检查作为尿失禁诊断的标准，采用简易尿动力学检查诊断压力性尿失禁的敏感度为87％（33／38），特异度为9／12，阳性预测值为92％（33／36），阴性预测值为9／14。简易尿动力学检查测得的最大膀胱容量、平均尿流率与标准尿动力学检查结果差异无统计学意义。提示，简易尿动力学检查可作为术前筛查项目。This study was to investigate the diagnosis value of simplified urodynamic test in stress urinary incontinence. Fifty patients with stress test-confirmed urine incontinence underwent simplified urodynamic test before routine urodynamic test. Detrusor instability, max bladder volume, average flow rate, and residual urine of simple urodynamic test were compared. Simplified urodynamic test showed a sensitivity of 87% , specificity of 9/12, positive predictive value of 92% , and negative predictive value of 9/14. There was no significant difference in max bladder volume, average flow rate, and residual urine between the two tests. Simplified urodynamic test might be a reliable method for diagnosis of stress urinary incontinence, and could be used for detrusor instability screening.

关 键 词：尿失禁 压力性 尿动力学 

分 类 号：R711.59[医药卫生—妇产科学]