尿动力学检查在诊断女性膀胱出口梗阻中的研究进展
Advances in the Study of Urodynamic Examination in the Diagnosis of Female Bladder Outlet Obstruction
DOI: 10.12677/ACM.2021.113176, PDF,    科研立项经费支持
作者: 李桂琴*, 方克伟#：昆明医科大学第二附属医院泌尿外科，云南 昆明
关键词: 女性膀胱出口梗阻；尿动力学检查；诊断；研究进展；Female Bladder Outlet Obstruction； Urodynamic Examination； Diagnosis； Research Progress
摘要: 女性膀胱出口梗阻(Female Bladder Outlet Obstruction, FBOO)是一类常见的女性下尿路疾病，严重影响患者生活质量。由于以往对该疾病认识不足及尚未有统一的诊断标准，使得FBOO患者的就诊率、确诊率偏低。近年来，随着尿动力学检查、膀胱尿道镜检、逼尿肌超声检查、影像尿动力学检查等逐渐用于诊断FBOO，越来越多的患者得到了及时诊治。其中尿动力学检查被认为是诊断男性膀胱出口梗阻的金标准，然而由于男女解剖结构差异，女性患者的诊断标准仍处于研究中，尚无一致定论。本文重点对尿动力学检查在诊断女性膀胱出口梗阻时的诊断标准进行综述，旨在为临床上诊断FBOO提供相对准确的依据。
Abstract: Female bladder outlet obstruction is a common disease of female lower urinary tract, which seriously affects the quality of life of patients. Due to the lack of previous understanding of this disease and the lack of unified diagnostic criteria, the rate of visit and diagnosis of FBOO patients is low. In recent years, with the gradual application of urodynamic examination, cystoscopy, detrusor ultrasonography, and video urodynamics in the diagnosis of FBOO, more and more patients have received timely diagnosis and treatment. Urodynamic is considered to be the gold standard for the diagnosis of bladder outlet obstruction in men. However, due to the anatomical differences between men and women, the diagnostic criteria for female patients are still under study and no consistent conclusion has been reached. This paper focuses on the review of the diagnostic criteria of urodynamic in the diagnosis of FBOO, aiming to provide a relatively accurate basis for the clinical diagnosis of FBOO.
文章引用：李桂琴, 方克伟. 尿动力学检查在诊断女性膀胱出口梗阻中的研究进展[J]. 临床医学进展, 2021, 11(3): 1222-1227. https://doi.org/10.12677/ACM.2021.113176

参考文献

[1] Abrams, P.H. and Griffiths, D.J. (1979) The Assessment of Prostatic Obstruction from Urodynamic Measurements and from Residual Urine. British Journal of Urology, 51, 129-134. [Google Scholar] [CrossRef] 
[2] de Groat, W.C., Griffiths, D. and Yoshimura, N. (2015) Neural Control of the Lower Urinary Tract. Comprehensive Physiology, 5, No. 1. [Google Scholar] [CrossRef] [PubMed]
[3] Coblentz, T. R. and Gray, M. (2001) Bladder Neck Obstruction in the Female. Urologic Nursing, 21, No. 4.
[4] Hickling, D., Aponte, M. and Nitti, V. (2012) Evaluation and Management of Outlet Obstruction in Women without Anatomical Abnormalities on Physical Exam or Cystoscopy. Current Urology Reports, 13, 356-362. [Google Scholar] [CrossRef] [PubMed]
[5] Solomon, E., Yasmin, H., Duffy, M., Rashid, T., Akinluyi, E. and Greenwell, T.J. (2018) Developing and Validating a New Nomogram for Diagnosing Bladder Outlet Obstruction in Women. Neurourology and Urodynamics, 37, 368-378. [Google Scholar] [CrossRef] [PubMed]
[6] Patel, R. and Nitti, V.W. (2001) Bladder Outlet Obstruction in Women: Prevalence, Recognition, and Management. Current Urology Reports, 2, 379-387. [Google Scholar] [CrossRef] [PubMed]
[7] 张晓鹏, 胡浩, 张国喜, 等. 女性原发性膀胱颈梗阻的TURBN手术治疗及病理结果分析[J]. 上海交通大学学报(医学版), 2012, 32(4): 408-411.
[8] Groutz, A., Blaivas, J.G. and Chaikin, D.C. (2000) Bladder Outlet Obstruction in Women: Definition and Characteristics. Neurourology and Urodynamics, 19, 213-220. [Google Scholar] [CrossRef] 
[9] Blaivas, J.G. and Groutz, A. (2000) Bladder Outlet Obstruction Nomogram for Women with Lower Urinary Tract Symptomatology. Neurourology and Urodynamics, 19, 553-564. [Google Scholar] [CrossRef] 
[10] Malde, S., Solomon, E., Spilotros, M., Mukhtar, B., Pakzad, M., Hamid, R., Ockrim, J. and Greenwell, T. (2019) Female Bladder Outlet Obstruction: Common Symptoms Masking an Uncommon Cause. LUTS: Lower Urinary Tract Symptoms, 11, 72-77. [Google Scholar] [CrossRef] [PubMed]
[11] Rosenblum, N., Scarpero, H.M. and Nitti, V.W. (2004) Voiding Dysfunction in Young, Nulliparous Women: Symptoms and Urodynamic Findings. International Urogynecology Journal, 15, 373-377. [Google Scholar] [CrossRef] [PubMed]
[12] Dmochowski, R.R., Blaivas, J.M., Gormley, E.A., Juma, S., Karram, M.M., Lightner, D.J., Luber, K.M., Rovner, E.S., Staskin, D.R., Winters, J.C. and Appell, R.A. (2010) Update of AUA Guideline on the Surgical Management of Female Stress Urinary Incontinence. The Journal of Urology, 183, No. 5. [Google Scholar] [CrossRef] [PubMed]
[13] Brubaker, L., Norton, P.A., Albo, M.E., Chai, T.C., Dandreo, K.J., Lloyd, K.L., Lowder, J.L., Sirls, L.T., Lemack, G.E., Arisco, A.M., Xu, Y. and Kusek, J.W. (2011) Adverse Events over Two Years after Retropubic or Transobturator Midurethral Sling Surgery: Findings from the Trial of Midurethral Slings (TOMUS) Study. American Journal of Obstetrics and Gynecology, 205, 498.E1-498.E6. [Google Scholar] [CrossRef] [PubMed]
[14] Yande, S. and Joshi, M. (2011) Bladder Outlet Obstruction in Women. Journal of Mid-Life Health, 2, 11-17. [Google Scholar] [CrossRef] [PubMed]
[15] Brucker, B.M., Shah, S., Mitchell, S., Fong, E., Nitti, M.D., Kelly, C.E., Rosenblum, N. and Nitti, V.W. (2013) Comparison of Urodynamic Findings in Women with Anatomical Versus Functional Bladder Outlet Obstruction. Female Pelvic Medicine & Reconstructive Surgery, 19, 46-50. [Google Scholar] [CrossRef] 
[16] Hsiao, S.-M., Lin, H.-H. and Kuo, H.-C. (2017) Videourodynamic Studies of Women with Voiding Dysfunction. Scientific Reports, 7, 6845. [Google Scholar] [CrossRef] [PubMed]
[17] Gammie, A., Kirschner-Hermanns, R. and Rademakers, K. (2015) Evaluation of Obstructed Voiding in the Female: How Close Are We to a Definition? Current Opinion in Urology, 25, 292-295. [Google Scholar] [CrossRef] 
[18] Chassagne, S., Bernier, P.A., Haab, F., Roehrborn, C.G., Reisch, J.S. and Zimmern, P.E. (1998) Proposed Cutoff Values to Define Bladder Outlet Obstruction in Women. Urology, 51, 408-411. [Google Scholar] [CrossRef] 
[19] Gravina, G.L., Costa, A.M., Ronchi, P., Galatioto, G.P., Gualà, L. and Vicentini, C. (2007) Bladder Outlet Obstruction Index and Maximal Flow Rate during Urodynamic Study as Powerful Predictors for the Detection of Urodynamic Obstruction in Women. Neurourology and Urodynamics, 26, 247-253. [Google Scholar] [CrossRef] [PubMed]
[20] Lemack, G.E. and Zimmern, P.E. (2000) Pressure Flow Analysis May Aid in Identifying Women with Outflow Obstruction. The Journal of Urology, 163, No. 6. [Google Scholar] [CrossRef] 
[21] Defreitas, G.A., Zimmern, P.E, Lemack, G.E. and Shariat, S.F. (2004) Refining Diagnosis of Anatomic Female Bladder Outlet Obstruction: Comparison of Pressure-Flow Study Parameters in Clinically Obstructed Women with Those of Normal Controls. Urology, 64, 675-679. [Google Scholar] [CrossRef] [PubMed]
[22] Kuo, H.C. (2005) Videourodynamic Characteristics and Lower Urinary Tract Symptoms of Female Bladder Outlet Obstruction. Urology, 66, 1005-1009. [Google Scholar] [CrossRef] [PubMed]
[23] Nitti, V.W., Tu, L.M. and Gitlin, J. (1999) Diagnosing Bladder Outlet Obstruction in Women. Journal of Urology, 161, 1535-1540. [Google Scholar] [CrossRef] 
[24] Lin, C.-D., Kuo, H.-C. and Yang, S.S. (2016) Diagnosis and Management of Bladder Outlet Obstruction in Women. LUTS: Lower Urinary Tract Symptoms, 8, 30-37. [Google Scholar] [CrossRef] [PubMed]
[25] Akikwala, T.V., Fleischman, N. and Nitti, V.W. (2006) Comparison of Diagnostic Criteria for Female Bladder Outlet Obstruction. Journal of Urology, 176, 2093-2097. [Google Scholar] [CrossRef] [PubMed]
[26] 曾纪仪, 林忠, 银河, 等. 女性膀胱出口梗阻的诊治及尿动力学检查的应用[J]. 中外女性健康研究, 2019(9): 115-116.
[27] 韩耕宇, 叶啸, 陈俊泳, 等. 1470 nm半导体激光经尿道膀胱颈切开术治疗女性膀胱颈梗阻的临床研究[J]. 现代泌尿生殖肿瘤杂志, 2018, 10(6): 342-345.
[28] 张鹏, 武治津, 杨勇, 等. 影像尿动力学检查在诊断女性下尿路排尿功能障碍疾病中的应用[J]. 中华外科杂志, 2012(5): 438-442.
[29] 马斌, 王艺璇, 李天刚, 等. 经腹及经阴道超声检查诊断女性膀胱颈梗阻的临床价值比较[J]. 中国初级卫生保健, 2016, 30(9): 32-33.
[30] Martinez, L. and Khavari, R. (2017) New Frontiers in Molecular and Imaging Research on Evaluation and Diagnosis of Bladder Outlet Obstruction in Women. Current Bladder Dysfunction Reports, 12, 291-297. [Google Scholar] [CrossRef] [PubMed]

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