尿动力学检查在压力性尿失禁中的临床应用价值  被引量:2

Clinical Application of Urodynamic Examination in Stress Urinary Incontinence

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作  者:袁小军 YUAN Xiaojun(Urology Department,Jiuquan City People's Hospital Xincheng Hospital,Jiuquan,Gansu 735019)

机构地区:[1]酒泉市人民医院新城医院泌尿外科,甘肃酒泉735019

出  处:《智慧健康》2023年第11期198-201,共4页Smart Healthcare

摘  要:目的 分析尿动力学检查在压力性尿失禁的临床应用价值,旨在为相关人员的研究资料提供参考文献。方法 实验择取2018年5月6日-2021年5月6日本院收治的72例发生压力性尿失禁的女性患者为研究样本。针对所有患者开展尿动力检查,分析结果。结果 手术前接受尿动力学检查的患者共计58例。其中,有38例病患在接受完毕手术治疗疾病以后6~12个月再次接受检查。相较于手术前,手术后受试者ALPP、Pdet.Qmax、Qmax改变明显,组间数据存在统计学意义(P<0.05);患者术中出血量均值为(66.29±16.25)mL,手术时间(36.52±7.05)min,术后病患留置尿管时长为3d。72例病患术后去掉导尿管以后可以实现自主排尿,共计12例病患表现出膀胱过度活动症状,数日后缓解,未经特殊处理。64例达到SUI主观治愈,2例表现出剩余尿量增加的情况,病患不存在临床不适情况。本组内不存在显著排尿困难的情况,8例病患SUI为主观改善。病患平均随访时长为(19.63±2.51)月,受试者不存在尿路感染、排尿障碍、尿失禁复发等情况。疗效显著。结论 尿动力学检查在压力性尿失禁中有着显著价值,这种方法安全性强。该法能对女性压力性尿失禁有效分类,建议推广。Objective To analyze clinical application value of urodynamic examination in stress urinary incontinence,and provide reference materials for relevant researchers.Methods The paper chose 72 female patients with stress urinary incontinence admitted to the hospital from May 6,2018 to May 6,2021 as study samples,and analyzed results of urodynamic tests of all patients.Results Among 58 patients with urodynamic examination before surgery,there were 38 patients with further examination 6-12 months after surgical treatment for the disease.There were significant changes in ALPP,Pdet.Qmax,and Qmax for patients after surgery compared with before surgery,(P<0.05);average intraoperative bleeding volume was(66.29±16.25)mL,surgical time was(36.52±7.05)minutes.Duration of indwelling catheter for postoperative patients was 3 days.72 patients could urinate autonomously after removing the catheter.12 patients showed symptoms of bladder overactivity,which relieved after a few days without special treatment.64 cases showed SUI subjective recovery,2 cases showed increase of residual urine volume,without any clinical discomfort.There was no significant difficulty urinating in the group.8 patients showed SUI subjective improvement,with average follow-up duration of(19.63±2.51)months.Patient showed no urinary tract infections,urinary disorders or recurrent urinary incontinence,which had significant curative effect.Conclusion Urodynamic examination can achieve significant value in stress urinary incontinence with highly safe,can classify female stress urinary incontinence effectively,which is recommended for promotion.

关 键 词:尿动力学检查 压力性尿失禁 女性 应用情况 价值分析 

分 类 号:R711.59[医药卫生—妇产科学]

 

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