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检测器低活性的临床特征和后果:研究可能的因果关系
J Vuthiwong1,2, Stewart Whalen3, Qu Lg2,4
1Department of Surgery, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
World journal of urology
|October 5, 2024
概括
排器低活性 (DU) 与压力并发症,如骨盆器官脱落和瘤有关,特别是在女性中. 风险因素包括年龄,神经疾病,糖尿病和手术,导致空气和储存症状.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 泌尿和妇科 泌尿和妇科
- 神经学 神经学
背景情况:
- 阻断器低活性 (DU) 是一种影响膀肌肉收缩的疾病.
- 了解DU的临床表现和关联对于患者管理至关重要.
研究的目的:
- 详细介绍患有脱体低活性 (DU) 的患者的临床表现和泌尿动力学发现.
- 探索 DU 与劳累引起的并发症之间的联系,包括骨盆器官脱落 (POP), inguinal ,和.
主要方法:
- 从2012-2023年对尿动力学研究 (UDS) 的回顾性审查.
- 573名DU患者与522名具有正常空气参数的对照进行了比较.
- 排除数据不足,阻塞性排泄或最近使用肉毒素的患者.
主要成果:
- 患有DU的患者,尤其是女性,患脊髓疾病,多发性硬化症,糖尿病和之前的手术的比例更高.
- 女性DU患者的阴道膨胀,复发性POP, inguinal hernia 和的患病率增加.
- 主要下尿路症状 (LUTS) 是排泄和储存症状,在男性和女性DU患者中观察到特定的泌尿动力学参数 (Qmax,PdetQmax,PVR).
结论:
- 已确定的DU风险因素包括年龄,神经疾病 (脊髓疾病,心血管疾病,多发性硬化症),糖尿病和导致骨盆缩的腹腔外科手术.
- 低尿路患者经常经历排泄和储存下尿路症状 (LUTS).
- 患有DU的女性面临着明显更高的POP手术, inguinal , , 和反复性尿路感染的风险,可能是由于尿路紧张而增加的腹内压力.
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