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[女性压力性尿失禁手术治疗中尿道吊带手术的并发症]

[Complications of mid urethral sling procedures for surgical treatment of female stress urinary incontinence].

作者信息

Bader G, Koskas M

机构信息

Centre hospitalier intercommunal de Poissy-St-Germain-en-Laye, Département de gynécologie-obstétrique et médecine de la reproduction, 10, rue du Champ-Gaillard, 78303 Poissy cedex, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2009 Dec;38(8 Suppl):S201-11. doi: 10.1016/S0368-2315(09)73579-3.

Abstract

With the evolution of novel approaches to female urinary incontinence treatment, a new set of complications are being described. These complications are relative to the operative indication, the trajectory of needles, characteristics of used materials and the surgeon's experience. These complications, mostly minor, require an early diagnosis and an adequate management. Data on mini-slings are insufficient, so only complications of suburethral retropubic and transobturator tapes will be detailed. Our objective is to facilitate the identification of modifiable risk factors of surgery for female stress urinary incontinence complications and to propose recommendations for the use of suburethral sling procedures and prevention and management of their potential complications.

摘要

随着女性尿失禁治疗新方法的不断发展,一系列新的并发症也逐渐被发现。这些并发症与手术指征、穿刺针路径、所用材料特性以及外科医生的经验有关。这些并发症大多较为轻微,需要早期诊断和妥善处理。关于迷你吊带的数据尚不充分,因此仅详细阐述耻骨后尿道下和经闭孔吊带的并发症。我们的目的是便于识别女性压力性尿失禁手术并发症的可改变风险因素,并针对尿道下吊带手术的应用、潜在并发症的预防和处理提出建议。

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