CAJ | 학술논문

目的：探讨尿动力学检查在压力性尿失禁合并糖尿病中的诊断意义。方法采用德国Ellipse尿动力检测仪对58例女性压力性尿失禁合并糖尿病患者及40例单纯压力性尿失禁患者进行尿动力学检测，参照不同的糖尿病病程，明确不同时期尿动力学的特征性改变。结果实验组与对照组相比，两组中以McGuire法分型的各型腹压漏尿点所占百分比具有明显差异；糖尿病病程大于2年患者的尿动力学参数与单纯SUI间差异具有统计学意义（P＜0．05），最大尿流率、最大尿流率时逼尿肌压力随病程的增加而降低，而强烈排尿感容量、剩余尿量、最大膀胱测压容量及初始尿意容量均随病程的增加而增加。结论尿动力学检查的各项指标结合糖尿病病程临床资料，有助于判断压力性尿失禁伴有何种膀胱功能的改变，对正确的诊断及后续治疗具有重要意义。
목적：탐토뇨동역학검사재압력성뇨실금합병당뇨병중적진단의의。방법채용덕국Ellipse뇨동력검측의대58례녀성압력성뇨실금합병당뇨병환자급40례단순압력성뇨실금환자진행뇨동역학검측，삼조불동적당뇨병병정，명학불동시기뇨동역학적특정성개변。결과실험조여대조조상비，량조중이McGuire법분형적각형복압루뇨점소점백분비구유명현차이；당뇨병병정대우2년환자적뇨동역학삼수여단순SUI간차이구유통계학의의（P＜0．05），최대뇨류솔、최대뇨류솔시핍뇨기압력수병정적증가이강저，이강렬배뇨감용량、잉여뇨량、최대방광측압용량급초시뇨의용량균수병정적증가이증가。결론뇨동역학검사적각항지표결합당뇨병병정림상자료，유조우판단압력성뇨실금반유하충방광공능적개변，대정학적진단급후속치료구유중요의의。
Objective To explore the diagnostic value of urodynamic performances of female stress urinary incontinence (SUI) patients with or without diabetes .Methods A total of 58 SUI patients with diabetes and 40 SUI patients without dia-betes were tested with German Ellipse urodynamic detection instrument .The urodynamic changes were analyzed .Results There were significant differences between the two groups in the percentages of abdominal leak-point pressure (ALPP) classi-fied with McGuire method .Statistical differences were found between SUI patients with diabetes for more than 2 years and SUI patients without diabetes (P<0 .05) .The maximum urinary flow rate (Rmf) and the pressure of maximum flow (PQmax) in patients with diabetes for more than 2 years decreased with the course of diabetes ,while the volume of post-void residual (Vpr)/first desire to void (Vfdv)/strong desire to void (Vsdv) and maximum cysto-metric capacity (Vmcc) increased .Conclusions Urodynamic indexes combined with clinical information of diabetes can identify different types of bladder dysfunctions , which are essential for solid diagnosis and subsequent treatment .