泌尿动力学和尿道压力概况测试结果在女性排泄阶段功能障碍治疗与手术尿解治疗
Amy D Dobberfuhl1, Craig V Comiter1, Sayantan Deb2
1Department of Urology, Stanford University School of Medicine, Palo Alto, CA, United States.
概括
尿道压力分析 (UPP) 参数可以帮助鉴定女性在抗失禁 (AI) 程序后排泄功能障碍的特征. 尿路解析在92%的女性中成功恢复了自发排泄.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
- 尿动力学 尿动力学 尿动力学
背景情况:
- 在抗 incontinence (AI) 程序后,空白阶段功能障碍的理解很差.
- 缺乏长期泌尿动力学 (UDS) 和尿道压力分析 (UPP) 数据.
- 尿道溶解是这种功能障碍的潜在治疗方法.
研究的目的:
- 在AI后的程序中,在女性中描述UDS和UPP参数,以消除功能障碍.
- 评估尿路解析在恢复自发排泄方面的有效性.
- 为了确定UPP参数和临床因素之间的相关性.
主要方法:
- 在AI手术后,对25名接受尿路解析以消除尿功能障碍的妇女进行了回顾性审查.
- 对手术前UDS和UPP数据的分析.
- 评估尿路解析后排泄结果.
主要成果:
- 接受尿路解析的女性平均年龄为60岁,并且在AI手术后平均47个月出现功能障碍.
- 手术前的UDS显示了最大峰值流量 (Qmax) 的受损,以及空洞后的高余量.
- UPP长度与膀出口阻塞和Pdet@Qmax相关;UPP关闭压力与年龄和膀容量相关.
- 在尿路解析后的92%的女性中,自发排尿得到了实现.
结论:
- UPP参数可以帮助描述AI后排空功能障碍的女性的出口问题.
- 尿道溶解是一种有效的治疗方法,可以在选择的女性中恢复自发排泄.
- 进一步的研究可以阐明UPP在管理这些患者中的作用.
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