کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3975242 1600969 2015 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors
ترجمه فارسی عنوان
نظارت بر تطابق پرایمر با استفاده از فشار انفجار انتهایی: نتایج بالینی و عوامل مرتبط
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveTo assess the clinical significance of low compliance bladder (LCB) in women with lower urinary tract symptoms.Materials and MethodsMedical records of 1490 women undergoing videourodynamic studies (VUSs) were reviewed. Comprehensive medical histories, physical examinations, bladder diaries, and results of multichannel VUS were analyzed. This study adopted an end filling detrusor pressure (EFP) greater than 20 cmH2O to define LCB.ResultsAmong the study patients (n = 1490), 9.1% were diagnosed with LCB using a cutoff value of 17.5 cmH2O, which had a sensitivity and specificity of 89% and 92.7%, respectively. Results of multivariate analysis indicated that age (p = 0.005), maximum cystometric capacity (MCC; p = 0.002), detrusor overactivity (DO; p = 0.001), pelvic organ prolapse (POP; p = 0.018), recurrent urinary tract infection (p = 0.001), and radical abdominal hysterectomy (RAH; p < 0.001) as independent prognostic factors. Furthermore, our study results indicate that the MCC, urinary tract infection, and a history of RAH have a positive correlation with LCB, whereas, age, POP, and DO have a negative correlation with LCB.ConclusionOur idea using EFP (≥17.5 cmH2O) for screening women with LCB is feasible for clinical use.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Taiwanese Journal of Obstetrics and Gynecology - Volume 54, Issue 6, December 2015, Pages 709–715
نویسندگان
, , , , , ,