5性压力性尿失禁诊断和治疗指南(试行)

女性压力性尿失禁诊断和治疗指南(试行)

中华医学会妇产科学分会妇科盆底学组

    压力性尿失禁(stress urinary incontinence,SUI)是指喷

嚏、咳嗽、大笑或运动等腹压增高时出现不自主的尿液白尿道口漏出。症状表现为喷嚏、咳嗽、运动等腹压增高时不自主漏尿。体征是在增加腹压时,能观察到尿液不自主地从尿道口漏出。尿动力学检查表现为充盈性膀胱测压时,在腹压增高而无逼尿肌收缩的情况下出现不随意漏尿。中国成年女性SUI患病率高达18.9%,在50~59岁年龄段,SUI患病率最高,为28.0%。目前,国际上对尿失禁的治疗日益规范,中华医学会妇产科学分会妇科盆底学组参考国际上相关的尿失禁治疗指南,结合我国国情,经研究讨论制定了我国SUI诊断和治疗指南,目的是指导疾病的诊治。该指南将根据实际工作需要和研究进展不断修订,加以完善。

10.3760/cma.j.issn.0529-567x.2011.10.023

    朱兰,100730 中国医学科学院北京协和医院妇产科,Email: zhu_julie@ sina.com

万方数据

万方数据

・797・

万方数据

@@[1] Agur W, Housami F, Drake M, et at. Could the National Institute       for Health and Clinical Excellence guidelines on urodynamics in       urinary incontinence put some women at risk of a bad outcome       from stress incontinence surgery? BJU Int, 2009, 103:635-639.

@@[2] Renganathan  A,  Duckett  J,  Nayak  K.   Female  urinary 

      incontinence-urodynamics: yes or no? J Obstet Gynaecol, 2009,

      29:473-479.

@@[3]  Abrams P, Andersson KE, Brubaker L. Recommendations of the 

      International Scientific Committee: evaluation and treatment of       urinary  incontinence,   pelvic  organ  prolapse  and  faecal 

      incontinence//Abrams  P,  Cardozo  L,  Khoury  S,  et  al.      Incontinence. 3rd ed.  Paris: Health Publications Ltd, 2005:

      1589-1630.

@@[4] National Institute for Health and Clinical Excellence. Urinary       incontinence: the management of urinary incontinence in women 

      (NICE clinical guideline 40. 2006 ) [EB/OL]. [ 2011-06-01 ].

      http://www.nice.org.uk/CG40.

@@[5] Freeman RM. Initial management of stress urinary incontinence:      pelvic floor muscle training and duloxetine. BJOG, 2006, 113 

      Suppl 1 :10-16.

@@[6] Hay-Smith EJ, Bφ Berghmans LC, Hendriks HJ, et at. Pelvic 

      floor muscle training for urinary incontinence in women. Cochrane 

      Database Syst Rev, 2001, 1 :CD001407.

@@[7] Wilson PD, Bo K, Bourcier A, et at. Conservative management       in women//Abrams P, Khoury S, Wein A. Incontinence. Paris:

      Health Publications Ltd, 1999:579-636.

@@[8]中华医学会泌尿外科学分会.女性压力性尿失禁诊断治疗指

    南(2007)[ EB/OL].[2011-06-01]. http://www.bethune.net.

       cn/zhenliaozhinan/2010/0731/11453.html.

@@[9] Leach GE, Dmochowski RR, Appell RA, et al. Female Stress 

       Urinary Incontinence Clinical Guidelines Panel summary report on 

       surgical management of female stress urinary incontinence. J Urol,

       1997, 158: 875-880.

@@[10] Dmoohowski RR, Blaivas JM, Gormley EA, et al.  Update of 

            A U Ai gnuciodenltinien eonn cthee.  suJr giUcraol lm,a na2g0em1e0n,t  o1f 8f3e:ma1l9e0 s6t-r1es9s1 u4r.

inary 

2011-06-11

女性压力性尿失禁诊断和治疗指南(试行)

作者:作者单位:刊名:英文刊名:年,卷(期):

中华医学会妇产科学分会妇科盆底学组

中华妇产科杂志

Chinese Journal of Obstetrics and Gynecology2011,46(10)

1. Renganathan A;Duckett J;Nayak K Female urinary incontinence-urodynamics:yes or no[外文期刊] 2009

2. Dmoohowski RR;Blaivas JM;Gormley EA Update of AUA guideline on the surgical management of female stress urinaryincontinence 2010

3. Agur W;Housami F;Drake M;et at Could the National Institute for Health and Clinical Excellence guidelines onurodynamics in urinary incontinence put some women at risk of a bad outcome from stress incontinence surgery[外文期刊] 2009(5)

4. Leach GE;Dmochowski RR;Appell RA Female Stress Urinary Incontinence Clinical Guidelines Panel summary report onsurgical management of female stress urinary incontinence 19975. 中华医学会泌尿外科学分会 女性压力性尿失禁诊断治疗指南(2007) 20116. Wilson PD;Bo K;Bourcier A;et at Conservative management in women 1999

7. Hay-Smith EJ;Bφ Berghmans LC;Hendriks HJ;et at Pelvic floor muscle training for urinary incontinence in women2001

8. Freeman RM Initial management of stress urinary incontinence:pelvic floor muscle training and duloxetine[外文期刊] 2006(Suppl 1)

9. National Institute for Health and Clinical Excellence Urinary incontinence:the management of urinaryincontinence in women (NICE clinical guideline 40.2006) 2011

10. Abrams P;Andersson KE;Brubaker L Recommendations of the International Scientific Committee:evaluation andtreatment of urinary incontinence, pelvic organ prolapse and faecal incontinence 2005

1. 中华医学会妇产科学分会内分泌学组. 田秦杰 闭经诊断与治疗指南(试行)[期刊论文]-中华妇产科杂志2011,46(9)2. 郎景和 精心医疗实践提高诊治水平:妇产科的诊治陷阱和对策[期刊论文]-中华妇产科杂志2011,46(10)

3. 曲首辉. 时春艳. 陈倩. 陈俊雅. 孙伟杰. 孙瑜. 张潇潇. 范丽欣. 杨慧霞. QU Shou-hui. SHI Chun-yan. CHEN Qian. CHEN Jun-ya. SUN Wei-jie . SUN Yu. ZHANG Xiao-xiao. FAN Li-xin. YANG Hui-xia 孕中、晚期孕妇子宫颈长度测量对早产的预测价值[期刊论文]-中华妇产科杂志2011,46(10)

4. 孔北华. Wen-xin ZHENG 重视卵巢癌的二元论模型与卵巢外起源新说[期刊论文]-中华妇产科杂志2011,46(10)5. 张静. 郭晓青. Jing-songLIU 卵巢浆液性癌的两级分级系统及其临床意义[期刊论文]-中华妇产科杂志2011,46(10)6. 中华医学会妇产科学分会感染性疾病协作组 滴虫阴道炎诊治指南(草案)[期刊论文]-中华妇产科杂志2011,46(4)7. 中华医学会妇产科学分会感染性疾病协作组 细菌性阴道病诊治指南(草案)[期刊论文]-中华妇产科杂志2011,46(4)8. 中华医学会妇产科学分会感染性疾病协作组 妇产科抗生素使用指南[期刊论文]-中华妇产科杂志2011,46(3)9. 中华医学会计划生育学分会 人工流产后计划生育服务指南[期刊论文]-中华妇产科杂志2011,46(4)

10. 中华医学会妇产科学分会产科学组 妊娠期肝内胆汁淤积症诊疗指南(第1版)[期刊论文]-中华妇产科杂志2011,46(5)

本文链接:http://d.g.wanfangdata.com.cn/Periodical_zhfck201110023.aspx

女性压力性尿失禁诊断和治疗指南(试行)

中华医学会妇产科学分会妇科盆底学组

    压力性尿失禁(stress urinary incontinence,SUI)是指喷

嚏、咳嗽、大笑或运动等腹压增高时出现不自主的尿液白尿道口漏出。症状表现为喷嚏、咳嗽、运动等腹压增高时不自主漏尿。体征是在增加腹压时,能观察到尿液不自主地从尿道口漏出。尿动力学检查表现为充盈性膀胱测压时,在腹压增高而无逼尿肌收缩的情况下出现不随意漏尿。中国成年女性SUI患病率高达18.9%,在50~59岁年龄段,SUI患病率最高,为28.0%。目前,国际上对尿失禁的治疗日益规范,中华医学会妇产科学分会妇科盆底学组参考国际上相关的尿失禁治疗指南,结合我国国情,经研究讨论制定了我国SUI诊断和治疗指南,目的是指导疾病的诊治。该指南将根据实际工作需要和研究进展不断修订,加以完善。

10.3760/cma.j.issn.0529-567x.2011.10.023

    朱兰,100730 中国医学科学院北京协和医院妇产科,Email: zhu_julie@ sina.com

万方数据

万方数据

・797・

万方数据

@@[1] Agur W, Housami F, Drake M, et at. Could the National Institute       for Health and Clinical Excellence guidelines on urodynamics in       urinary incontinence put some women at risk of a bad outcome       from stress incontinence surgery? BJU Int, 2009, 103:635-639.

@@[2] Renganathan  A,  Duckett  J,  Nayak  K.   Female  urinary 

      incontinence-urodynamics: yes or no? J Obstet Gynaecol, 2009,

      29:473-479.

@@[3]  Abrams P, Andersson KE, Brubaker L. Recommendations of the 

      International Scientific Committee: evaluation and treatment of       urinary  incontinence,   pelvic  organ  prolapse  and  faecal 

      incontinence//Abrams  P,  Cardozo  L,  Khoury  S,  et  al.      Incontinence. 3rd ed.  Paris: Health Publications Ltd, 2005:

      1589-1630.

@@[4] National Institute for Health and Clinical Excellence. Urinary       incontinence: the management of urinary incontinence in women 

      (NICE clinical guideline 40. 2006 ) [EB/OL]. [ 2011-06-01 ].

      http://www.nice.org.uk/CG40.

@@[5] Freeman RM. Initial management of stress urinary incontinence:      pelvic floor muscle training and duloxetine. BJOG, 2006, 113 

      Suppl 1 :10-16.

@@[6] Hay-Smith EJ, Bφ Berghmans LC, Hendriks HJ, et at. Pelvic 

      floor muscle training for urinary incontinence in women. Cochrane 

      Database Syst Rev, 2001, 1 :CD001407.

@@[7] Wilson PD, Bo K, Bourcier A, et at. Conservative management       in women//Abrams P, Khoury S, Wein A. Incontinence. Paris:

      Health Publications Ltd, 1999:579-636.

@@[8]中华医学会泌尿外科学分会.女性压力性尿失禁诊断治疗指

    南(2007)[ EB/OL].[2011-06-01]. http://www.bethune.net.

       cn/zhenliaozhinan/2010/0731/11453.html.

@@[9] Leach GE, Dmochowski RR, Appell RA, et al. Female Stress 

       Urinary Incontinence Clinical Guidelines Panel summary report on 

       surgical management of female stress urinary incontinence. J Urol,

       1997, 158: 875-880.

@@[10] Dmoohowski RR, Blaivas JM, Gormley EA, et al.  Update of 

            A U Ai gnuciodenltinien eonn cthee.  suJr giUcraol lm,a na2g0em1e0n,t  o1f 8f3e:ma1l9e0 s6t-r1es9s1 u4r.

inary 

2011-06-11

女性压力性尿失禁诊断和治疗指南(试行)

作者:作者单位:刊名:英文刊名:年,卷(期):

中华医学会妇产科学分会妇科盆底学组

中华妇产科杂志

Chinese Journal of Obstetrics and Gynecology2011,46(10)

1. Renganathan A;Duckett J;Nayak K Female urinary incontinence-urodynamics:yes or no[外文期刊] 2009

2. Dmoohowski RR;Blaivas JM;Gormley EA Update of AUA guideline on the surgical management of female stress urinaryincontinence 2010

3. Agur W;Housami F;Drake M;et at Could the National Institute for Health and Clinical Excellence guidelines onurodynamics in urinary incontinence put some women at risk of a bad outcome from stress incontinence surgery[外文期刊] 2009(5)

4. Leach GE;Dmochowski RR;Appell RA Female Stress Urinary Incontinence Clinical Guidelines Panel summary report onsurgical management of female stress urinary incontinence 19975. 中华医学会泌尿外科学分会 女性压力性尿失禁诊断治疗指南(2007) 20116. Wilson PD;Bo K;Bourcier A;et at Conservative management in women 1999

7. Hay-Smith EJ;Bφ Berghmans LC;Hendriks HJ;et at Pelvic floor muscle training for urinary incontinence in women2001

8. Freeman RM Initial management of stress urinary incontinence:pelvic floor muscle training and duloxetine[外文期刊] 2006(Suppl 1)

9. National Institute for Health and Clinical Excellence Urinary incontinence:the management of urinaryincontinence in women (NICE clinical guideline 40.2006) 2011

10. Abrams P;Andersson KE;Brubaker L Recommendations of the International Scientific Committee:evaluation andtreatment of urinary incontinence, pelvic organ prolapse and faecal incontinence 2005

1. 中华医学会妇产科学分会内分泌学组. 田秦杰 闭经诊断与治疗指南(试行)[期刊论文]-中华妇产科杂志2011,46(9)2. 郎景和 精心医疗实践提高诊治水平:妇产科的诊治陷阱和对策[期刊论文]-中华妇产科杂志2011,46(10)

3. 曲首辉. 时春艳. 陈倩. 陈俊雅. 孙伟杰. 孙瑜. 张潇潇. 范丽欣. 杨慧霞. QU Shou-hui. SHI Chun-yan. CHEN Qian. CHEN Jun-ya. SUN Wei-jie . SUN Yu. ZHANG Xiao-xiao. FAN Li-xin. YANG Hui-xia 孕中、晚期孕妇子宫颈长度测量对早产的预测价值[期刊论文]-中华妇产科杂志2011,46(10)

4. 孔北华. Wen-xin ZHENG 重视卵巢癌的二元论模型与卵巢外起源新说[期刊论文]-中华妇产科杂志2011,46(10)5. 张静. 郭晓青. Jing-songLIU 卵巢浆液性癌的两级分级系统及其临床意义[期刊论文]-中华妇产科杂志2011,46(10)6. 中华医学会妇产科学分会感染性疾病协作组 滴虫阴道炎诊治指南(草案)[期刊论文]-中华妇产科杂志2011,46(4)7. 中华医学会妇产科学分会感染性疾病协作组 细菌性阴道病诊治指南(草案)[期刊论文]-中华妇产科杂志2011,46(4)8. 中华医学会妇产科学分会感染性疾病协作组 妇产科抗生素使用指南[期刊论文]-中华妇产科杂志2011,46(3)9. 中华医学会计划生育学分会 人工流产后计划生育服务指南[期刊论文]-中华妇产科杂志2011,46(4)

10. 中华医学会妇产科学分会产科学组 妊娠期肝内胆汁淤积症诊疗指南(第1版)[期刊论文]-中华妇产科杂志2011,46(5)

本文链接:http://d.g.wanfangdata.com.cn/Periodical_zhfck201110023.aspx


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