McBride Andrew W, Ellerkmann R Mark, Bent Alfred E, Melick Clifford F
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland Medical System, MD, USA.
Am J Obstet Gynecol. 2005 May;192(5):1677-81. doi: 10.1016/j.ajog.2005.01.078.
This study was undertaken to compare the objective and subjective long-term surgical outcomes in patients receiving Tutoplast fascia lata allograft slings with those receiving autograft slings for the treatment of stress urinary incontinence (SUI).
We reviewed all patients (n = 71) undergoing suburethral sling with either autologous fascia lata (n = 39) or Tutoplast fascia lata (n = 32) for urodynamic stress incontinence (USI) from October 1, 1998, to August 1, 2001.
Of the original 71 patients, 47 were evaluated by objective and/or subjective means at a minimum of 2 years after surgery. Subjective quality of life measures, subjective continence, maximum urethral closure pressure, and bladder neck mobility were not different between the 2 groups. USI was demonstrated in 41.7% of allograft patients compared with no autograft patients (P = .007).
Although patient reported cure of SUI is high for both sling types, USI recurs at a significantly higher rate in Tutoplast slings compared with autologous slings.
本研究旨在比较接受Tutoplast阔筋膜同种异体移植吊带术与自体移植吊带术治疗压力性尿失禁（SUI）患者的客观和主观长期手术效果。
我们回顾了1998年10月1日至2001年8月1日期间接受尿道下吊带术治疗尿动力学压力性尿失禁（USI）的所有患者（n = 71），其中使用自体阔筋膜的患者有39例，使用Tutoplast阔筋膜的患者有32例。
在最初的71例患者中，47例在术后至少2年接受了客观和/或主观评估。两组患者的主观生活质量指标、主观控尿能力、最大尿道闭合压和膀胱颈活动度并无差异。在同种异体移植患者中，41.7%出现了USI，而自体移植患者中未出现（P = 0.007）。
尽管两种吊带术患者报告的SUI治愈率都很高，但与自体吊带相比，Tutoplast吊带的USI复发率明显更高。
