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相關文獻
- Differential Diagnosis of Urinary Incontinence
- 婦女尿失禁的復健治療
- 老人之尿失禁
- 以非侵入式體外磁波治療婦女尿失禁的臨床應用
- Effects of a Pelvic Floor Muscle Training Program for Women with Urinary Incontinence
- Efficacy of Pelvic Floor Rehabilitation for Treatment of Genuine Stress Incontinence
- 尿道注射膠原蛋白及其它充填劑治療應力性尿失禁
- 婦女應力性尿失禁之病理生理學觀點
- 恥骨陰道吊帶手術之作用
- 淺談婦女應力性尿失禁
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題名 | Differential Diagnosis of Urinary Incontinence=婦女尿失禁之鑑別診斷 |
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作 者 | 陳欣宏; | 書刊名 | 慈濟醫學 |
卷期 | 19:2 2007.06[民96.06] |
頁次 | 頁53-59+101 |
分類號 | 416.274 |
關鍵詞 | 應力性尿失禁; 急迫性尿失禁; 混合性尿失禁; 鑑別診斷; Stress urinary incontinence; Urge urinary incontinence; Mixed urinary incontinence; Differential diagnosis; |
語文 | 英文(English) |
中文摘要 | 婦女尿失禁是臨床上相當常見的疾病,根據統計在美國大學有十分之一的女性有尿失禁及骨盆腔器脫垂的困;而在臺灣根據2003年陳進典教授的統計,發現一半以上的婦女曾有尿失禁及相關症狀的問題,但卻只有27.1%的病患曾尋求醫療協助;可見這是一個相當值得重視的課題。婦女尿失禁大約可分成三類,分別是應力性、急迫性及混合型尿失禁,臨床上需要相當小心的加以鑑別診斷。這當中包括詳細的病史、排尿日誌,理學檢查、尿液分析、棉墊測式,肺胱尿道攝影及尿路動力學檢查等等,都而要全面性地仔細評估。本文綜合整理近代相關文獻針對婦女尿失禁臨床診斷的意見,並加以分析、討論其適應性及臨床診斷價值。 |
英文摘要 | Urinary incontinence (UI) is a world-wide health problem with both social and economic impact on individuals and society. It has been estimated that approximately 1 in 10 American Women undergoes surgery for urinary incontinence or pelvic organ prolapse, and a large minority of women use pads, medications and nonsurgical therapies. The nature and severity of the incontinence can be assessed with subjective, semisubjective, and objective data from a medical history, supplemented by questionnaires, voiding diaries and pad tests, physical examination, urinalysis and culture, cystourethroscopy, post-void residual volume, and urodynamic evaluation. However, the differential diagnosis of urinary incontinence and voiding dysfunction if often challenging because of the variety of diseases and underlying etiologies. So far, there are no best diagnositic strategies in the differential diagnoisis of urinary incontinence, and no clear guidelines for minimal evaluation before surgery for urinary incontinence. Some authors have proposed that women with complaints of urinary incontinence, especially those for whom surgery is contemplated, should undergo multichannel urodynamic evaluation when it is available. However, we must keep in mind that none of the currently available tests including the multichannelurodynamics fulfils the basic requirements of standardization, reproducibility and accurate predictive value with respect to therapeutic outcome. We will review current information on clinical evaluation and updated opinions on urinary incontinence assessment, and also discuss the indications for and value and limitations of the various investigations. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。