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静态尿道测压中气态测压导管的可重复性研究

Reproducibility evaluation of air-charged catheter for rest urethral pressure profilometry

摘要回顾性纳入2021年5月至2022年3月于北京朝阳医院因下尿路症状(LUTS)行静态尿道压力测定(RUPP)的患者共53例(男9例,女44例);年龄(55±16)(25~76)岁。纳入患者的LUTS初步临床诊断分类为:良性前列腺增生症9例,间质性膀胱炎1例,压力性尿失禁11例,非梗阻性排尿困难32例。全套尿动力学检查由充盈期膀胱测压+压力-流率测定(PFS)+RUPP三部分组成,所有尿动力检查均采用气态测压导管(ACC)及相应设备完成。所有患者均进行两次RUPP测定,膀胱压(Pves)分别为(35.30±6.15)、(35.81±5.91)cmH 2O(1 cmH 2O=0.098 kPa);最大尿道压(Pura@max)分别为(141.91±36.53)、(145.02±38.85)cmH 2O;功能尿道长度(FUL)分别为(41.70±16.34)、(42.55±16.40)mm;最大尿道闭合压(MUCP)分别为(106.57±36.44)、(109.41±39.27)cmH 2O,两次RUPP数据差异均无统计学意义(均 P>0.05)。ACC所得RUPP测定数据的可重复性良好,值得进一步研究。

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abstractsWe retrospectively included 53 (9 males, 44 females) patients who underwent rest urethral pressure profilometry (RUPP) due to lower urinary tract symptoms (LUTS) in Beijing Chaoyang Hospital from May 2021 to March 2022. The age of patients was (55±16) (25-76) years old. The clinical diagnoses of the included patients with lower urinary tract symptoms were classified as: benign prostatic hyperplasia in 9 cases, interstitial cystitis in 1 case, stress urinary incontinence in 11 cases and non-obstructive dysuria in 32 cases. The full set of urodynamic examination was composed of bladder pressure measurement during the filling period, pressure flow study (PFS) and RUPP. All the urodynamic examination was performed by air-charged catheter (ACC) and corresponding equipment. All patients underwent RUPP measurements twice. The vesical pressure (Pves) values were (35.30±6.15), (35.81±5.91) cmH 2O (1 cmH 2O=0.098 kPa); the Pura@max were (141.91±36.53), (145.02±38.85) cmH 2O; functional urethral length were (41.70±16.34), (42.55±16.40) mm; the maximum urethral closure pressure for the two RUPP measurements were (106.57±36.44), (109.41±39.27) cmH 2O. There was no statistical difference between the two RUPP measurements ( P>0.05). The reproducibility of the RUPP measurements obtained by ACC is good and deserves further study.

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DOI 10.3760/cma.j.cn112137-20220518-01095
发布时间 2023-02-14(万方平台首次上网日期,不代表论文的发表时间)
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中华医学杂志

中华医学杂志

2023年103卷6期

449-451页

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