Chantarasorn Varisara, Shek Ka Lai, Dietz Hans Peter
Sydney Medical School Nepean, University of Sydney Nepean Hospital, Penrith, NSW 2750, Australia.
Int Urogynecol J. 2011 Apr;22(4):493-8. doi: 10.1007/s00192-010-1306-y. Epub 2010 Oct 22.
The aim of this study was to determine associations between the ultrasonic appearance of Monarc suburethral slings and postoperative bladder symptoms at an average follow-up time of 11 months.
A prospective clinical audit was conducted on 98 patients after Monarc suburethral sling. The assessment included pelvic floor ultrasound to determine the gap between the sling and symphysis pubis, the angle formed by cranial and caudal ends of the sling at rest and on Valsalva, and the location of the sling relative to the urethra.
Patients who reported postoperative stress incontinence (SI) or urge incontinence (UI) had a significantly wider gap between the symphysis pubis and sling (P = 0.032 and P = 0.006, respectively).
A narrower gap between the tape and symphysis pubis is associated with both SI and UI cure. Tighter transobturator sling placement seems to be advantageous for the cure of both SI and UI.
本研究的目的是在平均11个月的随访时间里，确定Monarc尿道下吊带的超声表现与术后膀胱症状之间的关联。
对98例行Monarc尿道下吊带术的患者进行了一项前瞻性临床审计。评估包括盆底超声，以确定吊带与耻骨联合之间的间隙、吊带在静息和瓦尔萨尔瓦动作时头端和尾端形成的角度，以及吊带相对于尿道的位置。
报告有术后压力性尿失禁（SI）或急迫性尿失禁（UI）的患者，耻骨联合与吊带之间的间隙明显更宽（分别为P = 0.032和P = 0.006）。
吊带与耻骨联合之间较窄的间隙与SI和UI的治愈均相关。更紧密的经闭孔吊带放置似乎有利于SI和UI的治愈。
