Bladder Compliance What Does it Represent: Can We Measure it, and is it Clinically Relevant?
Bladder Compliance What Does it Represent: Can We Measure it, and is it Clinically Relevant?
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DOI：
10.1002/nau.21129
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发表时间：
2011-01-01
影响因子：
2
通讯作者：
Madersbacher, H.
中科院分区：
文献类型：
--
作者：
Wyndaele, J. J.;Gammie, A.;Madersbacher, H.
目的：在2010年第二次ICI-RS会议期间报告关于合规讨论的Think Thank 8的结论。研究方法：在为期3天的会议期间，一组专家讨论了膀胱顺应性，它代表什么，如何测量以及它是否与临床相关。结果如下：膀胱顺应性是在膀胱测压填充期间测量的单位压力上升所需的体积的数学计算的结果。它给出了膀胱壁中不同机制如何对拉伸反应的指示。本文提出了测量标准化的必要性和建议。描述了陷阱以及如何避免它们。在健康志愿者和患者群体中存在广泛的依从性值。需要更好地定义依从性差，因为它可能会产生重大的临床后果。讨论了预防和治疗。结论：如果顺应性被正确测量和解释，它在尿动力学检查中具有重要意义，并为临床管理提供相关信息。Neurorol。Urodynam。30：714 - 722，2011. (C)2011 Wiley-Liss，Inc.
Aims: To report the conclusion of the Think Thank 8 on Compliance Discussions during the second ICI-RS meeting in 2010. Methods: During a 3-day meeting a group of specialists discussed bladder compliance, what it represents, how it can be measured and if it is clinically relevant. Results: Bladder compliance is the result of a mathematical calculation of the volume required for a unit rise of pressure measured during a cystometric filling. It gives an indication on how the different mechanisms in the bladder wall react on stretching. There is a need of standardization of measurement and suggestions for this are given in the text. Pitfalls are described and how to avoid them. There is a wide range of compliance values in healthy volunteers and groups of patients. Poor compliance needs to be defined better as it can have significant clinical consequences. Prevention and treatment are discussed. Conclusion: If compliance is correctly measured and interpreted, it has importance in urodynamic testing and gives information relevant for clinical management. Neurourol. Urodynam. 30:714-722, 2011. (C) 2011 Wiley-Liss, Inc.