患有人工尿的患者中过活膀症状的患病率和危险因素
Hisanori Taniguchi1, Nae Takizawa1, Hidefumi Kinoshita2
1Department of Urology and Andrology, Kansai Medical University, 2-3-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan.
Scientific reports
|September 2, 2024
概括
过度活跃的膀症状在人工泌尿塞植入之前和之后是常见的,用于严重的压力失禁. 手术前膀容量低是手术后出现这些症状的关键风险因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 自制护理 自制护理
背景情况:
- 人工关节 (AUS) 植入是一种治疗严重的压力尿失禁的方法.
- 过度活跃的膀 (OAB) 症状可以与AUS植入并存或在AUS植入后发展,影响结果.
研究的目的:
- 在接受初级AUS植入的患者中确定过活膀症状的患病率和风险因素.
- 评估AUS激活后的持续性和新出现的OAB症状.
主要方法:
- 对48名患有严重压力失禁的患者进行前性调查,这些患者正在接受初级AUS植入.
- 评估OAB症状使用过度活跃膀症状评分在手术前和设备激活后长达12个月.
- 分析患者特征和泌尿动力学参数,包括最大囊泡计容量.
主要成果:
- 60%的患者有手术前的OAB症状;35-40%的患者在激活后12个月有OAB症状.
- 持久的OAB症状发生在44.8%的患者中,新出现的OAB发生在26.3%的患者中.
- 术前最大囊泡容量<200毫升是术后OAB的唯一确定的风险因素.
结论:
- 在接受AUS治疗的重度压力失禁患者中,OAB症状很常见,在手术前和手术后.
- 在AUS植入后,对持续性和新发性OAB的关注至关重要.
- 术前囊泡计容量<200毫升的患者需要针对OAB风险进行具体的咨询.
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