中国实用妇科与产科杂志

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女性尿失禁的诊断与鉴别诊断

  

  1. 四川大学华西医院泌尿外科,四川 成都 610041
  • 出版日期:2017-10-02 发布日期:2017-10-16
  • 通讯作者: 沈宏

Diagnosis and differential diagnosis of female urinary incontinence.

  1. Department of Urology/ Urological Institute,West China Hospital,Sichuan University,Chengdu 610041,China
  • Online:2017-10-02 Published:2017-10-16

摘要:

尿失禁是指尿液不自主从尿道口流出,国外较早期的文献显示女性尿失禁发生率为 4.5%~53.0%,国内调查的结果显示中国成年女性压力性尿失禁总患病率高达18.9%。尿失禁的诊断及评估包括定性诊断、分型诊断、程度诊断及合并疾病等4个方面。文章基于于欧洲泌尿协会(european association of urology,EAU)尿失禁指南及证据等级,以一系列证据概述的形式,将尿失禁诊断过程中的已知证据分等级推荐给临床医师。同时,将从尿路功能和尿路结构的异常两个方面鉴别尿失禁。 总之,在临床工作中,多数时间可以从患者的症状叙述中给出尿失禁的正确诊断,但仍需要注意针对可疑患者的鉴别诊断。

关键词: 尿失禁, 诊断, 指南

Abstract:

Urinary incontinence refers to the condition that the urine flows out of the urethra unconsciously.The earlier overseas studies reported that urinary incontinence happened in 4.5%-53.0% women;meanwhile,in China,the reports showed the incidence of adult female stress urinary incontinence was up to 18.9.The diagnosis and assessments of urinary incontinence included qualitative diagnosis,typing diagnosis,degree diagnosis and concomitant diseases.This study is based on the EAU urinary incontinence guideline and degree of evidence;it summarizes several evidences and recommends the known evidences of urinary incontinence diagnosis to clinicians.At the same time,this study focuses on the differential diagnosis of the urinary incontinence according to the function and structure of urethra.Overall,in the clinical practice,the proper diagnosis of urinary incontinence can be based on the symptom description of patients;however,more attention should be paid to the suspected patients.

Key words: urinary incontinence, diagnosis, guideline

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