Ogundipe A, Rosenzweig B A, Karram M M, Blumenfeld D, Bhatia N N
Department of Obstetrics and Gynecology, Harbor-University of California Medical Center, University of California, Los Angeles School of Medicine.
Surg Gynecol Obstet. 1992 Aug;175(2):173-6.
The most suitable material used to perform suburethral sling procedures for recurrent or severe stress urinary incontinence remains controversial. A comparison was made between two commonly used materials, synthetic Gore-Tex (expanded reinforced polytetrafluoroethylene) and autologous fascia lata. Both groups showed improved urethral pressure profiles postoperatively, but there was no difference in the magnitude of change between groups. The objective cure rate at six months for the Gore-Tex group was 100.0 versus 87.5 percent for the fascia lata group (p = 0.155). While there was no statistical difference between the incidence of de novo detrusor instability or length of postoperative bladder drainage (p = 0.104 and p = 0.978, respectively), there was a trend toward more postoperative complications of urinary obstruction in the Gore-Tex group.
用于复发性或重度压力性尿失禁的尿道下吊带手术的最合适材料仍存在争议。对两种常用材料，即合成的戈尔特斯（膨体聚四氟乙烯）和自体阔筋膜进行了比较。两组术后尿道压力曲线均有改善，但两组间变化幅度无差异。戈尔特斯组六个月时的客观治愈率为100.0%，而阔筋膜组为87.5%（p = 0.155）。虽然新发逼尿肌不稳定的发生率或术后膀胱引流时间在两组间无统计学差异（分别为p = 0.104和p = 0.978），但戈尔特斯组术后尿路梗阻并发症有增多趋势。
