Urinary incontinence in the elderly female: prediction in diagnosis and outcome of management.
Urinary incontinence in the elderly female: prediction in diagnosis and outcome of management.
复制标题
老年女性尿失禁：诊断预测和治疗结果。
作者：
H. Eastwood;R. Warrell
一种用于诊断老年女性尿失禁的算法方法在前瞻性的65例患者中进行了评估，通过比较使用已发表算法的修改形式得出的临床诊断与随后的尿动力学结果。这一概念的普遍有效性得到了证实。临床诊断的主要错误发生在应激性尿失禁的受试者身上，强调出现这种症状可能需要进行尿动力学研究。在逼尿肌不稳定的患者中，根据膀胱测量结果得出的算术评分，可以预测三个月后对尿失禁的常规治疗的可能反应。
An algorithmic approach to the diagnosis of urinary incontinence in elderly females has been evaluated in a prospective series of 65 patients by comparing the clinical diagnosis arrived at using a modified form of a published algorithm with the subsequent urodynamic findings. The general validity of the concept was confirmed. The major errors in clinical diagnosis occurred in subjects with stress incontinence, emphasizing that presentation with this symptom was likely to warrant urodynamic study. In patients with detrusor instability it was shown to be possible to predict the likely response to conventional management of their incontinence after three months, on the basis of an arithmetic score derived from the cystometric findings.