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.
[1] 廖利民. 尿动力学[M]. 北京: 人民军医出版社, 2012: 104-237.
[2] Kuhn A, Nager C, Hawkins E, et al.A comparative study of water perfusion catheters and microtip transducer catheters for urethral pressure measurements[J]. Int Urogynecol J, 2007, 18(8): 931-935.
[3] 金锡御,宋波. 临床尿动力学[M]. 北京: 人民卫生出版社, 2002: 52-111.
[4] Culligan P J, Goldberg R P, Blackhurst D W, et al.Comparison of microtransducer and fiberoptic catheters for urodynamic studies[J]. Obstet Gynecol, 2001, 98(2): 253-257.
[5] Pollak J T, Neimark M, Connor J T, et al.Air-charged and microtransducer urodynamic catheters in the evaluation of urethral function[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2004, 15(2): 124-128.
[6] Brown M, Wickham J E A . The urethal pressure profile[J]. Br J Urol, 1969, 41(2): 211-217.
[7] 陈忠,刘正清,蔡丹,等. T-Doc 气体传导系统在尿动力学检查中的应用[J]. 临床泌尿外科杂志, 2007, 22(12): 885-887.
[8] 郭应禄, 杨勇. 尿失禁[M]. 济南: 山东科学技术出版社, 2003: 117-169.
[9] James E D.The behaviour of the bladder during physical activity[J]. Br J Urol, 1978, 50(6): 387-394.
[10] Liao L, Schaefer W.Quantitative quality control during urodynamic studies with TVRs for cystometry in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia[J]. Int Urol Nephrol, 2014, 46(7): 1301-1308.
[11] Liao L, Schaefer W.Qualitative quality control during urodynamic studies with TSPs for cystometry in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia[J]. Int Urol Nephrol, 2014, 46(7): 1073-1079.
[12] Lu T J, Liao L M.Typical value ranges and typical signal patterns in the initial cough in patients with neurogenic bladder: quality control in urodynamic studies[J]. Int Neurourol J, 2016, 20(3): 214-223.
[13] Duckett J, Cheema K, Patil A, et al.What is the relationship between free flow and pressure flow studies in women?[J]. Int Urogynecol J, 2013, 24(3): 447-452.
[14] Couri B M, Bitzos S, Bhardwaj D, et al.Performance analysis of the T-DOC® air-charged catheters: An alternate technology for urodynamics[J]. Neurourol Urodyn, 2017, 37(2), 619-625.
[15] Rowan D, James E D, Kramer A E, et al.Urodynamic equipment: technical aspects. produced by the International Continence Society working party on urodynamic equipment[J]. J Med Eng Technol, 1987, 11(2): 57-64.
[16] Zehnder P, Roth B, Burkhard F, et al.Air charged and microtip catheters cannot be used interchangeably for urethral pressure measurement: a prospective, single-blind, randomized trial[J]. J Urol, 2008, 180(3): 1013-1017.
[17] 朱克勤, 许春晓. 粘性流体力学[M]. 北京: 高等教育出版社, 2009: 4-7.
[18] 吴子牛. 空气动力学(上册)[M]. 北京: 清华大学出版社, 2007: 1-53.
[19] Ask P, Hok B.Pressure measurement techniques in urodynamic investigations[J]. Neurourol Urodyn, 1990, 9(1):1-15.
[20] Schaefer W, Liao L M, Kirschner-Hermanna R, et al.Urodynamics quality control: qualitative plausibility control with typical signal patterns[J]. Neurourol Urodyn, 1999, 18(A): 366-367.
[21] 凌永发,王杰. 压力传感器的选择与应用[J]. 云南民族大学学报(自然科学版), 2003, 12(3): 192-193.
[22] Abrams P, Damaser M S, Niblett P, et al.Air filled, including "air-charged," catheters in urodynamic studies: does the evidence justify their use?[J]. Neurourol Urodyn, 2017, 36(5):1234-1242.
[23] Gammie A, Drake M, Swithinbank L, et al.Absolute versus relative pressure[J]. Neurourol Urodyn, 2009, 28:468.
[24] Cooper M A, Fletter P C, Zaszczurynski P J, et al.Comparison of air-charged and water-filled urodynamic pressure measurement catheters[J]. Neurourol Urodyn, 2011, 30(3): 329-334.
[25] Shapiro G G, Krovetz L J.Damped and undamped frequency responses of under damped catheter manometer systems[J]. Am Heart J, 1970, 80(2):226-236.
[26] Hartford C G, Turner M J, van Schalkwyk J M, et al. Frequency responses of infant air-balloon versus liquid-filled catheters for intra-esophageal pressure measurement[J]. Pediatr Pulmonol, 1997, 24(5): 353-363.
[27] Thind P, Bagi P, Lose G, et al.Characterization of pressure changes in the lower urinary tract during coughing with special reference to the demands on the pressure recording equipment[J]. Neuroural Urodyn, 1994, 13(3):219-225.
[28] Gammie A, Clarkson B, Constantinou C, et al.International Continence Society guidelines on urodynamic equipment performance[J]. Neuroural Urodyn, 2014, 33(4): 370-379.
[29] Schaefer W, Abrams P, Liao L M, et al.Good urodynamic practice: uroflowmetry, filling cystometry and pressure flow studies[J]. Neurourol Urodyn, 2002, 21(3):261-274.
[30] Digesu G A, Derpapas A, Robshaw P, et al.Are the measurements of water-filled and air-charged catheters the same in urodynamics?[J]. Int Urogynecol J, 2014, 25(1): 123-130.
[31] Sheng W, Bruna M C, Ruth K.Comparison of air-charged and water-perfused catheters for use in cystometric assessment [Z].
[32] Gammie A, Abrams P, Bevan W, et al.Simultaneous in vivo comparison of water-filled and air-filled pressure measurement catheters: implications for good urodynamic practice[J]. Neurourol Urodyn, 2016, 35(8): 926-933.
[33] Holt D P E, Gibbs C, Wathes C M. Simultaneous urethral pressure profilometry using a microtip transducer catheter in the bitch: Effects of bitch position and transducer orientation[J]. Neurourol Urodyn, 2010, 9(3): 281-296.
[34] Hassan K A, Paul C F, Paul J Z, et al.Conversion of urodynamic pressures measured simultaneously by air-charged and water-filled catheter systems[J]. Neurourol Urodyn, 2015, 34(6): 507-512.
[35] 刘正清,郭立丽,姚启盛,等. 2种尿动力学测压导管的比较[J]. 海南医学院学报, 2010, 16(4): 474-476.
[36] Abrams P, Blaivas J G, Stanton S L, et al.ICS standardization report on “ The Standardisation of terminology of Lower Urinary Tract Function”[J]. Scand J Urol Nephrol, 1988, 114(1): 106.