Brown S L, Govier F E
Department of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, Washington 98111, USA.
J Urol. 2000 Nov;164(5):1633-7.
We report our initial experience with cadaveric fascia lata in pubovaginal sling procedures.
We compared 121 consecutive women who underwent a sling procedure using cadaveric fascia lata from February 1997 through June 1999 (group 1) with 46 consecutive women who underwent a sling procedure using autologous fascia lata from May 1994 through July 1997 (group 2).
Mean followup was longer in group 2 (44 versus 12 months). A total of 104 of the 121 group 1 patients (86%) responded to the questionnaire, of whom 85% were cured of stress incontinence, 83% reported overall improvement in urinary control and 74% had no or minimal leakage not requiring pads. Median catheterization time was 9 days (range 4 to 120). Overall 89% of the women were satisfied with the results and 83% would recommend this surgery. A total of 30 of the 46 group 2 patients (65%) responded to the questionnaire, of whom 90% were cured of stress incontinence, 90% reported overall improvement in urinary control and 73% had no or minimal leakage not requiring pads. Median catheterization time was 14 days (range 6 to 180). Overall 90% of the women were satisfied with the results and 83% would recommend this surgery.
Cadaveric fascia lata pubovaginal slings appear to be safe. Early experience suggests that cadaveric fascia lata may be considered an alternative to autologous fascia. Cadaveric and autologous fascia lata appear to have a high success rate.
我们报告在耻骨后阴道吊带手术中使用尸体阔筋膜的初步经验。
我们将1997年2月至1999年6月连续接受使用尸体阔筋膜吊带手术的121名女性（第1组）与1994年5月至1997年7月连续接受使用自体阔筋膜吊带手术的46名女性（第2组）进行比较。
第2组的平均随访时间更长（44个月对12个月）。第1组121名患者中有104名（86%）回复了问卷，其中85%的压力性尿失禁患者治愈，83%报告排尿控制总体改善，74%无或仅有少量漏尿，无需使用尿垫。中位导尿时间为9天（范围4至120天）。总体而言，89%的女性对结果满意，83%会推荐该手术。第2组46名患者中有30名（65%）回复了问卷，其中90%的压力性尿失禁患者治愈，90%报告排尿控制总体改善，73%无或仅有少量漏尿，无需使用尿垫。中位导尿时间为14天（范围6至180天）。总体而言，90%的女性对结果满意，83%会推荐该手术。
尸体阔筋膜耻骨后阴道吊带似乎是安全的。早期经验表明，尸体阔筋膜可被视为自体筋膜的替代物。尸体阔筋膜和自体阔筋膜似乎都有较高的成功率。
