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女性压力性尿失禁外科治疗的变化趋势——22年观察

Changing trends in the surgical treatment of female stress urinary incontinence--twenty two years observation.

作者信息

Rechberger Tomasz, Futyma Konrad, Miotła Paweł, Adamiak Aneta, Tomaszewski Jacek, Skorupski Paweł, Wróbel Andrzej, Postawski Krzysztof, Jakowicki Jerzy A

机构信息

II Katedra i Klinika Ginekologii Akademii Medycznej w Lublinie, Poland.

出版信息

Ginekol Pol. 2008 Jan;79(1):36-41.

PMID:18510048
Abstract

OBJECTIVES

The aim of this study was to analyze the changing trends in surgical treatment of female urinary incontinence (UI).

MATERIAL AND METHODS

Medical records of all women admitted to II Department of Gynecology from 1985 to 2006 were analyzed in order to find out how the female SUI treatment changed over these years.

RESULTS

During analyzed time 36819 patients were hospitalized in our Department and 77.6% (28568) of them were operated because of various indications. The number of SUI surgeries among all hospitalized women steadily rose from 1.93% in 1985 to 10.96% in 2006 reaching maximum in 2005 (13.73%). Clinical effectiveness of SUI surgeries markedly improved from 35% for anterior colporrhaphy to almost 90 % for suburethral slings.

CONCLUSIONS

Introduction into clinical practice modern suburethral slings improved clinical efficacy of SUI treatment. The percentage of women admitted and treated surgically because of SUI steadily increased over the last years.

摘要

目的

本研究旨在分析女性尿失禁(UI)手术治疗的变化趋势。

材料与方法

分析1985年至2006年在妇科二科住院的所有女性的病历,以了解这些年来女性压力性尿失禁(SUI)治疗的变化情况。

结果

在分析期间,我院共收治36819例患者,其中77.6%(28568例)因各种适应症接受了手术治疗。所有住院女性中SUI手术的数量从1985年的1.93%稳步上升至2006年的10.96%,并于2005年达到最高值(13.73%)。SUI手术的临床疗效显著提高,从阴道前壁修补术的35%提高到尿道下吊带术的近90%。

结论

现代尿道下吊带术引入临床实践提高了SUI治疗的临床疗效。近年来,因SUI入院并接受手术治疗的女性比例稳步上升。

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Ginekol Pol. 2008 Jan;79(1):36-41.
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