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| 題 名 | 利用尿路動態機能檢查作為間質性膀胱炎之輔助診斷依據 |
|---|---|
| 作 者 | 郭漢崇; 張世忠; 許悌; | 書刊名 | 慈濟醫學 |
| 卷 期 | 2:6=10 1990.11[民79.11] |
| 頁 次 | 頁464-472 |
| 分類號 | 415.835 |
| 關鍵詞 | 作為; 尿路; 依據; 動態; 診斷; 間質性; 膀胱炎; 輔助; 機能; 檢查; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 雖然尿路動態機能檢查被認為在診斷間質性膀胱炎之特異性(specificity) 不夠高,但完整的檢查對於臨床上診斷間質性膀胱炎確實有其輔助效果。本研究 共收集30名臨床上有膀胱疼痛症候群病患,經過尿路動態機能檢查篩選後發現:(1) 具有較差膀胱適應性者(compliance≦30cmH�烙),敏感度為68.8(11/16),持異性為 91.7(11/I2);(2)具有較低尿流速及不正常尿流圖者,敏感度為81.3(13/16),持異性為 59.1(13/22);(3)同時具有較差膀胱適應性及不正常尿流速/尿流圖者,其敏感度為 68.8(11/16),特異性為91.7(11/12);(4)尿道壓力圖在輔助診斷上缺乏意義。當病人 具有膀胱疼痛之症狀,以尿路動態機能檢查作為間質性膀胱炎之輔助診斷,具有 臨床上的重要意義。(慈濟醫學1990;2:464-472) |
| 英文摘要 | Thirty patients with painful bladder and irritative bladder symptoms are enrolled in this study toevaluate if urodynamic studies are able to act as an aid in the diagnosis of interstitial cystitis. Afterdetailed urodynamic studies and cystoscopy under general anesthesia, 16 are grouped in interstitialcystitis and 14 are non-interstitial cystitis. Analysis of the parameters of urodynamic study reveals that:(1) a lower bladder compliance (C≦30 cm H�烙) has a sensitivity of 68.8 (11/16) and specificity of91.7 (11/12) in the diagnosis of interstitial cystitis, while (2) an abnormal flow rate and flow patternhas a sensitivity of 81.3 (13/16) and specificity of 59.1 (13/22), (3) both of (1) and (2) has the samesensitivity and specificity as lower bladder compliance, (4) urethral pressure profilometry has no clinical significance in the diagnosis of interstitial cystitis. Typical pathologic changes in interstitial cystitisis believed to result in above-mentioned urodynamic findings. A patient with painful bladder symptomand abnormal urodynamic parameters should be highly suspected to have interstitial cystitis and undergoes further studies. (Tz'u-Chi Med J 1990; 2: 464-472) |
本系統中英文摘要資訊取自各篇刊載內容。