Gill E J, Elser D M, Bonidie M J, Roberts K M, Hurt W G
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Medical College of Virginia at Virginia Commonwealth University, Richmond, VA, USA.
Am J Obstet Gynecol. 2001 Aug;185(2):345-8. doi: 10.1067/mob.2001.116732.
We sought to determine the incidence of unsuspected injury to the lower urinary tract as detected by intraoperative cystoscopy when the Burch procedure is performed.
We reviewed the records of 181 women who underwent pelvic surgery, which included a Burch retropubic urethropexy for genuine stress urinary incontinence, between Jan 1, 1998, and Dec 31, 1999. All patients underwent intraoperative cystoscopy at the completion of the Burch procedure after the administration of intravenous indigo carmine dye.
There were 6 (3.3%) injuries to the lower urinary tract. Five of the injuries were cystotomies that had been recognized during operation. One obstructed left ureter was detected by cystoscopy and relieved by the release of left paravaginal repair sutures. No unsuspected injuries that were detected by cystoscopy were attributable to the Burch procedure.
The lower urinary tract injury rate was 3.3%. All but one injury was recognized before cystoscopy. The one injury was attributed to concomitant paravaginal repair and not to the Burch procedure.
我们试图确定在进行Burch手术时，通过术中膀胱镜检查发现的下尿路意外损伤的发生率。
我们回顾了1998年1月1日至1999年12月31日期间接受盆腔手术的181名女性的记录，其中包括因真性压力性尿失禁而进行的Burch耻骨后尿道悬吊术。所有患者在静脉注射靛胭脂染料后，于Burch手术完成时接受术中膀胱镜检查。
有6例（3.3%）下尿路损伤。其中5例损伤为术中已识别的膀胱切开术。通过膀胱镜检查发现1例左侧输尿管梗阻，并通过松解左侧阴道旁修补缝线得以缓解。膀胱镜检查发现的意外损伤均与Burch手术无关。
下尿路损伤率为3.3%。除1例损伤外，其余所有损伤在膀胱镜检查前均已被识别。这例损伤归因于同时进行的阴道旁修补，而非Burch手术。
