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| 題 名 | A Comparison of Urodynamic Parameters and Lower Urinary Tract Symptoms in Urodynamic Genuine Stress Incontinence Women with or without Stress Urinary Incontinence=比較有主訴與無主訴尿失禁之真性應力性尿失禁婦女在尿動力學上與下泌尿道症狀的表現 |
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| 作 者 | 陳智偉; 黃寬慧; 梁西米; 許惠貞; 龔福財; | 書刊名 | 長庚醫學 |
| 卷 期 | 27:8 2004.08[民93.08] |
| 頁 次 | 頁594-601 |
| 分類號 | 416.274 |
| 關鍵詞 | 真性應力性尿失禁; 尿動力學; 下泌尿道症狀; 應力性尿失禁; 棉墊測試; Genuine stress incontinence; Stress urinary incontinence; Lower urinary tract symptoms; Urodynamics; Pad test; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:為了探討真性應力性尿失禁婦女,其下泌尿道症狀與尿動力學上的表現,和比較有主訴與無主訴應力性尿失禁之婦女彼此間的差異。 方法:這是個前瞻性、臨床觀察研究。收進3323位有下泌尿道症狀之婦女,全部接受問卷調查、尿動力學檢查、及一小時棉墊測試。經尿動力學診為直性應力性尿失禁有1261位。再進一步比較有主訴與無主訴應力性尿失禁之婦女在下泌尿道症狀與尿動力學上表現的差別。 結果:有85.1%的真性應力性尿失禁婦女為有主訴尿失禁,另有14.9%真性應力性尿失禁之婦女是沒有尿失禁之主訴。無主訴應力性尿失禁之婦女(Group B)在其它統計上有意義的下泌尿道症狀包括夜尿、白天頻尿、殘尿感、小便細小、急尿、急尿性尿失禁、排尿後滴尿,都比有主訴應力性尿失禁之婦女(Group A)還低。Group B在最大尿流速,解尿量,最大膀胱容積都比Group A還低。Group b的最大尿道閉鎖壓力於用力及休息時,都比Group A高。Group B在一小時棉墊測試比Group A還低(7.2g vs 26 g, p<0.001)。 結論:真性應力性尿失禁的婦女除了多數主訴應力性尿失禁外,尚會合併其他不同程度的下泌尿道症狀。約有15%診斷為真性應力性尿失禁之婦女並沒有主訴應力性尿失禁。無主訴應力性尿失禁之婦女的其它下泌尿道症狀,都比較輕微。有主訴與無主訴應力性尿失禁的真性應力性失禁婦女,其尿動力學的表現也是不同的。 |
| 英文摘要 | Background: The aim of this study was to investigate the urodynamic parameters and lower urinary tract symptoms (lUTS) of women with urodynamic genuine stress inconitinence (GSI). Methods: A cross-sectional study involving 3323 women with LUTS was conducted. We recruited 1261 women with urodynamic GSI and were further grouped as with or without symptomatic stress urinary incontinence (SUI). The LUTS and urodynamic measurements between the two groups were analyzed and compared. Results: Women with symptomatic SUI had a greater maximal flow rate, larger voided volume, larger maximal cystometric capacity, and smaller maximal urethral closure pressure (MUCP) during both rest and stress. The amount of urine leakage during the 1-hour pad lest of GSI women with symptomatic SUI was much greater than women without symptomatic SUI (26.0g vs 72.g, p<0.001). The significant differences in other lower urinary tract symptoms including nocturia, diurnal frequency, incomplete emptying, poor steam, urgency, urge incontinence, and post-void dribbling in women without symptomatic SUI were all less than women with symptomatic SUI. Conclusions: The urodynamic parameters and LUTS between the GSI women with or without symptomatic SUI are different. Approximate 15% of GSI women do not complain of symptomatic SUI. The lower urinary tract symptoms of women with GSI without symptomatic SUI were less prominent than for the GSI women with symptomatic SUI. |
本系統中英文摘要資訊取自各篇刊載內容。