臨床泌尿器科73巻2号

2019年02月発行

特集 もっと身近に!　Female Urologyを学ぶ

〈診断〉

女性下部尿路症状に対する尿流動態検査の有用性

著者： 朝倉博孝¹

所属機関： ¹埼玉医科大学病院泌尿器科

ページ範囲：P.106 - P.113

文献概要

▶ポイント

・排尿後残尿測定は非侵襲的な検査で，下部尿路障害を診断する第一選択の検査になりうる．

・膀胱内測定により，蓄尿障害の原因であるDOや低コンプライアンス膀胱が診断できる．

・女性下部尿路閉塞の診断は，controversialであるが，Qmax/Pdet@Qmaxのカットオフ値と臨床症状の組み合わせで診断されている．

・最近のトピックスである排尿筋低活動についても，UDSのパラメータの基準値は決まっていない．

・UDSにアーチファクトはつきものであるので，その解釈には注意を要する．

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