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[压力性尿失禁女性患者膀胱内及尿道内压力评估结果]

[Results of the evaluation of intracystic and intraurethral pressure in women with stress urinary incontinence].

作者信息

Lotocki W, Pieciukiewicz Z, Podziewska I

机构信息

Kliniki Ginekologii i Połoznictwa Septycznego, Instytutu Połoznictwa i Chorob Kobiecych AM, Białymstoku.

出版信息

Rocz Akad Med Bialymst (1989). 1990;35-36:81-7.

PMID:2136550
Abstract

Urodynamic measurements including sphincterometry and cystometry were made in 36 women with stress urinary incontinence (SUI). Out of this number in 32 affected with SUI of stages I, II and III surgical treatment was applied. Control group were 7 women without SUI symptoms. Marshall-Marchetti operation in the modification of Durfée or of Burch was made in the space of Retzius. The procedure was followed by simultaneous pararectal suturing of the wedges of levator ani muscle. The mean values of urodynamic measurements were compared using Student's "t" test and paired test. No evident difference was found when average values of pre-operative +cystic manometry were compared in particular groups of patients using statistical analysis. Sphincterometry made in women who had been effectively operated on showed statistically significant higher values of urethral closure pressure. Higher values of post-operative urodynamic measurements can speak for a complete recovery of the patients.

摘要

对36名压力性尿失禁(SUI)女性进行了尿动力学测量,包括括约肌测量和膀胱测量。在这36名患者中,有32名患有I、II和III期SUI并接受了手术治疗。对照组为7名无SUI症状的女性。在Retzius间隙进行了改良的Durfée或Burch式Marshall-Marchetti手术。该手术随后同时进行肛提肌楔形直肠旁缝合。使用学生t检验和配对检验比较尿动力学测量的平均值。通过统计分析比较特定患者组术前膀胱测压的平均值时,未发现明显差异。对手术效果良好的女性进行的括约肌测量显示,尿道闭合压在统计学上有显著更高的值。术后尿动力学测量值较高表明患者已完全康复。

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