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Victoria A Buckley¹, Anna Rosamilia², Joseph K Lee³

¹Department of Obstetrics and Gynaecology, Monash Health, Melbourne, Victoria, Australia.

|November 18, 2024

概括

一个修改的国际前列腺症状评分 (wIPSS) 问卷可以帮助选女性排泄功能障碍 (VD). 犹和减少电流的力量等症状是客观VD的关键指标.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
妇科妇科妇科妇科
妇女健康妇女健康

背景情况:

排泄功能障碍 (VD) 影响许多女性,影响生活质量.
精确诊断静脉疾病往往需要侵入性泌尿动力学评估.
需要非侵入性查工具来识别可能患有阴道疾病的女性.

研究的目的:

评估修改的国际前列腺症状评分 (wIPSS) 调查问卷,以确定女性客观性静脉疾病.
为了确定哪些临床因素和wIPSS问题最能预测VD.

主要方法:

对1083名接受尿动力学评估的妇女进行了回顾性分析.
目标VD定义使用两个标准:最大流量<10个百分之一 (VD1) 或Qmax ≤15 mL/s和PVR ≥100 mL (VD2).
用于识别静脉疾病预测因子的分类和回归树 (CART) 分析.

主要成果:

根据定义,客观静脉疾病的患病率各不相同 (静脉疾病1: 30.9%,静脉疾病2: 5.8%).
wIPSS得分和特定症状 (犹,流力) 与静脉疾病有关.
卡特分析发现犹和流力问题是最强的预测因素.

结论:

目标VD率是取决于定义的.
wIPSS,特别是关于犹和流力的问题,显示出作为一种选工具的承诺,用于缺少VD.
这种修改后的WIPSS可能有助于非侵入性地评估女性的排泄功能障碍.

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