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尿动力学检查在女性压力性尿失禁诊治中的应用 被引量:18

Evaluation of Therapeutic Effectiveness of Urodynamic Investigation for Female Stress Urinary Incontinence
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摘要 目的探讨尿动力学在女性压力性尿失禁诊治中的作用。方法 1985~1999年根据尿动力学对100例女性压力性尿失禁患者进行分型,并采用改良Pereyra法进行手术治疗。结果 随访88例,术后6个月治愈80例(90.9%),各型之间治愈率统计学上无显著性差异;术后2年治愈68例(77.3%),Ⅲ型治愈率低(55%),与Ⅰ型、Ⅱ型、Ⅱ/Ⅲ型的治愈率统计学上有显著性差异。结论 尿动力学检查对女性压力性尿失禁的诊断、分型及治疗预后有重要指导意义,以提高压力性尿失禁的疗效。 To evaluate the clinical significance of urodynamics in female stress urinary incontinence(FSUI). Methods From 1985 to 1990, 100 cases of FSUI were classified by urodynamic studies and treated by modified Pereyra transvaginal needle bladder suspension. Results Among 88 cases follow up, 80(90.9%) were cured at 6 months postoperatively, there was no significant difference between different types; 68(77.3%)were cured at 2 years postoperatively, there was significant difference between type Ⅲ and type Ⅰ 、 Ⅱ and Ⅱ /Ⅲ . Conclusion The results suggested that urodynamics investigation plays a very important role in the diagnosis and classification of FSUI; it could be used to improve therapeutic effectiveness and predict prognosis.
出处 《上海第二医科大学学报》 CSCD 2002年第3期268-270,共3页 Acta Universitatis Medicinalis Secondae Shanghai
关键词 尿动力学检查 女性 压力性尿失禁 悬吊术 改良 Pereyra法 诊断 治疗 urodynamics FSUI suspension modified Pereyra method
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