相关实验视频
Updated: Sep 11, 2025

06:39
Real-Time Void Spot Assay
Published on: February 10, 2023
2.1K
非侵入性诊断功能障碍性空腹:使用SHADE标准的方法
Gautam Shubhankar1, Vikas Kumar Panwar1, Md Taher Mujahid1
1Department of Urology, All India Institute of Medical Sciences, Uttarakhand, India.
Urology research & practice
|August 19, 2025
概括
年轻患者的功能障碍排泄 (DV) 可以使用SHADE标准进行非侵入性诊断. 这种方法有助于早期检测和管理,特别是当尿动力学研究无法获得时.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 自制护理 自制护理
背景情况:
- 功能障碍性排泄 (DV) 是低诊断的下泌尿道症状 (LUTS) 的原因,特别是在年轻人中.
- 缺少detrusor肌肉和外部泌尿道截之间协调的特征是DV,导致频率,紧迫性和 incontinence.
- 泌尿动力学研究 (UDS) 是诊断的黄金标准,在资源有限的环境中往往无法获得.
研究的目的:
- 调查非侵入性临床参数,用于暂时诊断功能障碍性排泄 (DV).
- 在呈现下尿路症状 (LUTS) 的患者中识别DV的预测因素.
主要方法:
- 在2021-2024年间,对516名LUTS患者进行了UDS的回顾性分析,不包括神经障碍或尿道狭窄的患者.
- 评估症状,尿液流量计和各年龄组 (50岁以下和50岁以上) 的相关情况.
- 使用奇平方测试和多变量逻辑回归的统计分析,以确定显著的预测因素.
主要成果:
- 67名患者被诊断患有DV,其中64名年龄在50岁以下.
- 在DV和白天频率,增加焦虑,阻塞性尿道流量计,便秘和高压关节之间发现了显著的关联.
- 拟议的SHADE (Staccato/阻塞性排空模式,高度焦虑,年龄<50,日间频率,排除狭窄或神经疾病) 标准显示>95%对DV的积极预测值.
结论:
- 非侵入性临床标准可以提高DV的早期和准确诊断,特别是在资源有限的环境中.
- 在没有UDS的情况下,SHADE标准为临时DV诊断提供了有价值的工具.
- 实施SHADE标准可以导致迅速,有针对性的治疗和改善DV患者的治疗结果.
相关概念视频
Imaging Studies VI: Voiding Cystourethrography and Cystography
112
Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
112
Urodynamic Studies: Uroflowmetry
534
Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
534
Imaging Studies II: Ultrasonography
53
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
53
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
223
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
223
Assessment of the Rectum and Anus
400
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
400
Urinary Bladder
1.5K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
1.5K

