论文部分内容阅读
一、病例摘要患者女,48岁,主因“咳嗽漏尿伴尿急3年余,加重2 年”于2015-05-11入院。患者3年前开始出现重体力劳动及情绪激动后漏尿,伴白天排尿次数增多,夜尿,偶有尿急,不能憋尿。近两年来上述症状加重,白天排尿次数8 次以上,夜尿2次,尿急每日约1次,急迫性尿失禁一日1次,膀胱过度活动症(OAB)评分9分:白天排尿次数1分,夜尿2分,尿急3分,急迫性尿失禁3分。无盆腔器官脱垂表现。一小时尿垫试验结果为31.5 g,符合重度压力性尿失禁(SUI)。尿动力试验提示膀胱容量增大,感觉容受性正常,最大尿道内压94 cm H_2O,腹压漏尿点压
First, the patient summary Female, 48 years old, mainly due to “cough leaking with urinary urgency more than 3 years, aggravating 2 years ” in 2015-05-11 admission. 3 years ago, patients began to heavy physical labor and emotional leakage after leakage, accompanied by increased urination during the day, nocturia, occasional urinary urgency, can not hold back urine. Over the past two years the above symptoms worsened, the number of urination during the day more than 8 times, nocturia twice, urinary urgency about 1 day, urge incontinence 1 day, OAB score 9 points: the number of urination during the day 1 point, nocturia 2 points, urinary urgency 3 points, urge incontinence 3 points. No pelvic organ prolapse performance. An hour urine pad test result of 31.5 g, in line with severe stress urinary incontinence (SUI). Urodynamic tests suggest bladder capacity increased, sensory tolerance was normal, the maximum urethral pressure 94 cm H_2O, abdominal pressure leak urine pressure