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这个女人有什么类型的尿失禁?
Jayna M Holroyd-Leduc1, Cara Tannenbaum, Kevin E Thorpe
1Division of Geriatrics, and Knowledge Translation Program, University of Calgary, Calgary, Alberta, Canada. jayna.holroyd-leduc@calgaryhealthregion.ca
JAMA
|March 28, 2008
概括
紧急病史是诊断冲动性尿失禁的关键. 膀压力测试可以帮助诊断女性的压力尿失禁.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 诊断医学 诊断医学 诊断医学
- 基于证据的实践.
背景情况:
- 尿失禁影响了许多人,治疗方式因类型而异.
- 精确诊断尿失禁类型对于有效管理至关重要.
研究的目的:
- 在办公室评估期间,系统地审查有关诊断尿失禁类型准确方法的证据.
- 评估不同类型尿失禁的临床评估的诊断准确性.
主要方法:
- 对MEDLINE和EMBASE数据库 (1966-2007) 的系统审查.
- 包括英语语对成人尿失禁诊断的队列和病例控制研究.
- 参考标准包括专家诊断或尿动力学研究.
主要成果:
- 包括40篇文章;对男性的数据很少.
- 在女性中,病史适度有助于压力性尿失禁 (SUI) 诊断,对于冲动性尿失禁 (UUI) 更有帮助.
- 膀压力测试显示SUI的适度实用性;联合临床评估为SUI提供了适度的价值,但对UUI更少.
结论:
- 患者病史,特别是与急性相关的尿失,对于诊断急性尿失禁最有价值.
- 膀压力测试可以成为诊断压力尿失禁的有用组成部分.
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