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相關文獻
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頁籤選單縮合
題 名 | Urodynamic Study of Female Urgency--Frequency Syndrome=女性急尿--頻尿症候群尿路動態之研究 |
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作 者 | 陳世乾; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 20:3 1987.05[民76.05] |
頁 次 | 頁217-223 |
分類號 | 416.274 |
關鍵詞 | 女性急尿; 頻尿症候群; 尿路動態; |
語 文 | 英文(English) |
中文摘要 | 在一百多年以前,學者們已經知道情緒障礙,會影響膀胱排尿機能不良。在成年女性,由於精神上的困擾,而引起的排尿機能不良,大致可分成兩種。一積是尿液瀦留,卽尿液聚機在膀胱裏,卻解不出來;另一種卽是急尿--頻尿症候群。 身心性急尿--頻尿症候群,主要的症狀為頻尿、急尿和急性尿失禁。伴隨這些症狀的,還包括排尿困難,下腹疼痛、不適或骨盆區壓力感。這些症狀尤其在白天,更為顯著。通常這些症狀的產生,常伴隨著精神方面的困擾,而且互有關聯。 從民國74年1月到75年3月,台大醫院泌尿科由門診及公保聯合門診中心,檢查了八十個患有急尿--頻尿症候群的成年女性。患者的年齡範圈,由21歲到74歲,平均年齡為39.5歲。 這些女性患者在經過身體檢查和神經方面的評估之後,再接受尿路動態功能檢查。然後,依照膀胱壓力檢查間的不同,區分成三組。第一組為身心性膀胱障礙,具有正常的膀胱壓力檢查圖,有41位患者,占51%。第二組為敏感性膀胱,具有較小的膀胱容積,有22位患者,占28%。第三組為不穩定性膀胱,有17位患者,占21%。這一組可再區分為兩種類型,一類為出現不能抑制的膀胱收縮,另一類為膀胱對容積的增加,具有較差的適應性。 目前我們已知,有許多種方法,可以治療身心性膀胱機能不良,而藥物治療仍然是一種主要的方法。因此,對於女性急尿--頻尿症候群,只要好好的加以評估,均可得到良好的治療效果。 |
英文摘要 | Psychogenic urgency-frequency syndrome (so called irritable bladder syndrome) consists of urinary frequency, urgency, and urge incontinence. Accompanying these may be dysuria, suprapublic pain, discomfort, or pelvic pressure. Symptoms tend to predominate in the daytime. From January 1985 to March 1986, we received 80 patients from the outpatient clinic and Govemment Employee Clinical Center with psychogenic urgency-frequency syndrome. The ages ranged from 21 to 74 years with an average of 39.5 years. After physical examination and neurological evaluation, urodynamic investigations of these patients were performed using DlSA type 2100 urodynamic equipment. Later, these patients were classified into three groups: (1)Psychosomatic bladder disorder with detrusor stability: 41 cases (51%). (2) Hpersensitive bladder with small bladder capacity: 22 cases (28%). (3) Unstable bladder: 17 cases (21%). Those with unstable bladder were divided into type 1 and type 2. Type 1 revealed uninhibited detrusor contraction, while type 2 revealed low compliance detrusor, without uninhibited contraction. Patients with urgency or frequency of micturition do not need hospitalization and may be managed effectively by out-patient care. In our study, thirty-one patients received Flavoxate Hydrochloride therapy. The voiding function was evaluated again and about 65% of the patients enjoyed satisfactory results. |
本系統中英文摘要資訊取自各篇刊載內容。