56例中年女性尿失禁患者的尿流动力学分析  

Urodynamic analysis on 56 cases of middle-aged female patients with urinary incontinence

作　　者：王磊[1] 胡新生[1] 乔庆东[1] 

机构地区：[1]河南省新乡市中心医院泌尿外一科,453000

出　　处：《中国综合临床》2012年第2期158-161,共4页Clinical Medicine of China

基　　金：基金项目：新乡市科技发展计划项目（09S013）

摘　　要：目的研究中年女性（35—55岁）尿失禁患者的尿流动力学变化，提高相应诊治水平。方法对56例尿失禁的中年女性患者进行尿流动力学研究，并与正常对照组（17例）比较。结果56例患者中压力性（SUI）尿失禁患者为33例（58．93％）（SUI组）、急迫性（UUI）尿失禁患者为9例（16．07％）（UUI组）、混合性（SUI／UUI）尿失禁患者为14例（25．00％）（SUI／UUI组）。SUI组患者最大尿流率（Qmax）（27．72±5．21）ml／s高于正常对照组（20．45±7．15）ml／s，差异有统计学意义（P〈0．05）；UUI组的膀胱初感容量（FS）、正常排尿感觉（ND）、强烈排尿感觉（SD）、急迫排尿感觉（UD）与正常对照组[（135．65±42．73）ml与（132．70±40．65）ml、（166．24±51．42）ml与（160．70±50．44）ml、（315．75±42．34）ml与（320．75±42．34）ml、（320．24±45．03）ml与（335．75±51．98）ml]比较差异均有统计学意义（P均〈0．05）；SUI组及SUI／UUI组患者测得Valsalva漏尿点压力（ALPP）[（62．29±25．40）cmH2O与（88．30±28．54）cmH2O]比较差异有统计学意义（t=13．041，P〈0．05）；SUI组患者的最大尿流率时逼尿肌压（Pdet-Qmax）、最大尿道压（MUP）及最大尿道闭合压（MUCP）明显低于正常对照组[（24．29±6．24）cmH2O与（34．45±8．20）cmH2O、（68．20±18．27）cmH2O与（87．14±17．26）cmH2O、（74．24±35．75）cmH2O与（90．66±30．10）cmH2O]差异均有统计学意义（P均〈0．05）。练论中年女性尿失禁患者具有较大患者群体，其分类较为复杂，尿流动力学检查对于明确其诊断及选择正确治疗方法，提高疗效具有重要指导意义。Objective To study the changes of urodynamics of middle-aged （35 -55 years old）female patients with urinary incontinence and imprgve the diagnosis and treatment. Methods Analyze and compare the urodynamics between 56 cases of middle-aged female patients with urinary incontinence and 17 cases of normal control. Results Among the 56 patients, 33 cases with stress incontinence （ SUI group 58.93 % ）, 9 cases with urgency urinary incontinence（UUI group 16.07% ）, 14 cases with mixed urinary incontinence（ SUI/UUI group 25. 00% ）. There was significant difference on maximum flow rate （ Qmax [ 27.72 ± 5.21 ] ml/s vs [ 20. 45 ± 7. 15 ] ml/s ,P 〈0. 05 ）between the SUI group and control group. The beginning of a sense of capacity （FS）, normal urination feeling （ ND ）, strong feeling of urination （ SD ） and urgent urination feeling （ UD ） were （135.65 ±42.73）ml, （166.24 ± 51.42） ml, （315.75 ±42.34） ml, （320.24 ± 45.03） ml and （132.70± 40. 65） ml, （ 160.70 ± 50. 44 ） ml, （ 320. 75 ± 42. 34 ） ml, （ 335.75 ± 51.98 ） ml in the UUI group and control group respectively. And there were significant differences on the four indexes between UUI group and control group （ P 〈 0. 05 ）. There was significant difference on ALPP （ [ 62.29 ± 25.401 em H20 vs [ 88. 30 ± 28.54 ] cm H2O,P 〈 0.05 ） between the SUI group and SUI/UUI group. Pressure at maximum flow rate （Pdet-Qmax, [ 24. 29 ± 6. 24 ] cm H2O vs [ 34.45 ± 8.201 cm H2 O, maximum urethral pressure （ MUP （ [ 68.20 ± 18.27 ] cm H2O vs [87. 14 ± 17. 26]cm H2O） and maximum urethral closure pressure （MUCP（ [74. 24 ±35. 75]cm H2O vs [90. 66 ± 30. 10] em H2O） in SUI group were significantly lower than those in control group （P 〈 0. 05 ） . Conclusion There were large groups of middle-aged female urinary incontinence in patients and the classification is more complex. It shows important guiding significance for diagnosis and selecting proper treatments by detecting urodynamie.

关 键 词：尿流动力学 压力性尿失禁 急迫性尿失禁 

分 类 号：R694[医药卫生—泌尿科学]