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对32名采用改良式Ed McGuire耻骨后阴道悬吊术治疗真性压力性尿失禁的女性患者的手术结果。

Results in 32 women operated for genuine stress incontinence with the pubovaginal sling procedure ad modum Ed McGuire.

作者信息

Borup Kirsten, Nielsen J B

机构信息

Department of Urology, Aarhus University Hospital, Skejby, Denmark.

出版信息

Scand J Urol Nephrol. 2002;36(2):128-33. doi: 10.1080/003655902753679427.

Abstract

OBJECTIVE

To determine the efficacy of the sling procedure in curing genuine stress incontinence in women.

PATIENTS AND METHODS

Thirty-two women underwent the pubovaginal fascial sling procedure because of genuine stress incontinence. Currently, the patients are still monitored in order to check the efficiency of the treatment.

RESULTS

The patients have been followed for a period of 5 years, and 30 patients are cured from stress urinary incontinence. One patient is improved, one is lost to follow up. Five patients experience intermittent minor degree of urge incontinence. Two patients have to perform clean intermittent catheterization (CIC) from time to time; one also did this before the operation.

CONCLUSION

The sling procedure is a superior operation for patients that suffer from genuine stress incontinence, and should be the first choice of treatment.

摘要

目的

确定吊带手术治疗女性真性压力性尿失禁的疗效。

患者与方法

32名因真性压力性尿失禁接受耻骨后阴道筋膜吊带手术的女性。目前,仍在对这些患者进行监测以检查治疗效果。

结果

对患者进行了5年的随访,30例压力性尿失禁患者治愈。1例病情改善,1例失访。5例患者出现间歇性轻度急迫性尿失禁。2例患者不得不不时进行清洁间歇性导尿(CIC);其中1例在手术前也有此情况。

结论

吊带手术对于患有真性压力性尿失禁的患者是一种较好的手术方式,应作为首选治疗方法。

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