液体和气体尿动力学测压导管的比较

doi:10.3969/j.issn.1006-9771.2018.00.012

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (1): 55-59.doi: 10.3969/j.issn.1006-9771.2018.00.012

液体和气体尿动力学测压导管的比较

赵海涛^1,2, 廖利民^1,2

1. 首都医科大学康复医学院,北京市 100068;
2. 中国康复研究中心北京博爱医院,北京市 100068

收稿日期:2018-08-08 修回日期:2018-09-03 出版日期:2019-01-25 发布日期:2019-02-18
通讯作者: 廖利民(1964-),男,汉族,四川宜宾市人,博士,主任医师,主要研究方向：神经泌尿学和尿动力学。E-mail: lmliao@263.net
作者简介:赵海涛(1996-),女,汉族,山西吕梁市人,硕士研究生,主要研究方向：神经泌尿学和尿动力学。

Comparison of Water Filled and Air Charged Urodynamic Pressure Measuring Catheters (review)

ZHAO Hai-tao^1,2, LIAO Li-min^1,2

1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
2. Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China

Received:2018-08-08 Revised:2018-09-03 Published:2019-01-25 Online:2019-02-18
Contact: LIAO Li-min. E-mail: lmliao@263.net

摘要/Abstract

摘要： 尿动力学检查可以再现患者的下尿路症状并且能客观解释患者的膀胱问题。目前,临床最常用的尿动力学测压导管是液体传导导管,由于经济、卫生等优点,受到广泛认可。然而,液体传导导管中气泡及患者活动会影响信号传导质量。气体传导导管操作简便易行,测量值不受气泡和患者活动的影响,已逐渐在某些地区开始用于尿动力学测压。气体传导系统与液体传导系统在很多方面存在差别,在流体力学原理、调零方法和操作细节等方面的差异直接或间接影响测压结果。国内外对气体传导系统的研究还不完善。本文综述国内外研究现状,从基本构造、发展沿革、零压力点设置、频率响应、膀胱测压、尿道压力描记、压力值转换算法和检查后的感染发生率等方面进行分析。

关键词: 尿动力学, 液体传导导管, 气体传导导管, 综述

Abstract: Urodynamics is able to reproduce the patient's lower urinary tract symptoms and to explain patient's bladder problems objectively. Currently, the most commonly used urodynamic manometry catheter is water filled catherters, which is widely recognized due to its economic and healthy advantages. However, air bubbles and patient's activities can affect the quality and speed of signal transduction, interfering the explanation of the pressure results. The air-filled catheters are easy to operate, and the measures are unaffected by air bubbles and patient's activities, which have gradually begun to be used in urodynamic study in some areas. However, there are several differences between them in terms of fluid mechanics principle, zero set and detailed operations which directly and indirectly lead to the different pressure results. The researches on air-filled catheters at home and abroad are still not perfect. This article gave a detailed comparison between them based on the present studies from the following aspects: the essential structure, the developing history, the fluid mechanics principle, the zero pressure point setting, the frequency response, the cystometrogram, the urethral pressure profile, the conversion algorithm, and the urinary tract infection after the investigation, etc.

Key words: urodynamics, water-filled catheters, air-filled catheters, review

中图分类号:

R694

赵海涛, 廖利民. 液体和气体尿动力学测压导管的比较[J]. 《中国康复理论与实践》, 2019, 25(1): 55-59.

ZHAO Hai-tao, LIAO Li-min. Comparison of Water Filled and Air Charged Urodynamic Pressure Measuring Catheters (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(1): 55-59.

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液体和气体尿动力学测压导管的比较

Comparison of Water Filled and Air Charged Urodynamic Pressure Measuring Catheters (review)

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