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患者的特征,症状和泌尿动力学参数与女性的脱体收缩持续时间有关
Connie N Wang1, Albert Ha1, Doreen E Chung1
1Department of Urology, Columbia University Irving Medical Center, New York, NY, United States.
在女性中,detrusor收缩时间 (DCD) 平均为90秒. 较长的DCD与膀出口阻塞和较高的排骨压力相关,而磁盘疾病和压力失禁与较短的持续时间有关.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 泌尿动力学是什么意思 尿动力学
- 盆地底部疾病 盆地底部疾病
背景情况:
- 在泌尿动力学研究 (UDS) 中,脱体收缩持续时间 (DCD) 的临床意义尚不清楚.
- 调查与女性DCD相关的因素对于临床解释至关重要.
研究的目的:
- 为了确定与女性DCD相关的患者特征,症状和泌尿动力学参数.
- 阐明DCD在女性下尿路功能障碍中的临床意义.
主要方法:
- 对一个单一机构的UDS数据库 (2015-2019) 的分析,其中包括405名女性患者.
- 使用威尔科克斯等级总和测试和一个不变的通用线性模型 (马分布).
- 使用Blaivas-Groutz名图表来表征膀出口阻塞 (BOO).
主要成果:
- 平均DCD时间为90秒. 较长的DCD与膀容量增加,最大流量 (Qmax) 的排泄器压力 (Pdet) 和最大Pdet相关.
- 增加的DCD与轻度,中度和严重的膀输出阻塞 (BOO) 观察到.
- 退行性磁盘疾病,盆腔辐射和压力失禁与减少的DCD相关;黑人种族与较长的DCD相关.
结论:
- 女性的中位数DCD为90秒,受尿动力学参数和患者因素的影响.
- 较高的BOO,Pdet和膀容量与较长的DCD有关.
- 需要进一步的研究来确定DCD在女性下尿路疾病中的预测价值.
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