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[女性压力性尿失禁的外科治疗结果]

[Results of surgical treatment of stress urinary incontinence in women].

作者信息

Lotocki W, Drozdzewicz M, Siekierski A

机构信息

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

出版信息

Rocz Akad Med Bialymst (1989). 1990;35-36:89-97.

PMID:2136551
Abstract

Post-operation results of stress urinary incontinence treatment have been assessed and subjected to statistical analysis in 667 patients. The elaboration of the results was based on case history data, inquiries and control ambulatory examinations. Diagnostic procedures included sphincterometry, cystometry, cystoscopy, cystography and provocation test like coughing. Vaginal and urine biocenosis was always assessed microbiologically. The Marshall-Marchetti operation as modified by Durfée and Burch was made within the space of Retzius. Complementary procedure consisted in suturing levator ani muscles after previous bilateral opening of pararectal space within perineum. Third pair of sutures was placed according to the authors' own modification during the Durfée operations. The results of surgical treatment of SUI performed by the authors do not differ in principle from those reported by others. A small number of relapses the authors ascribe to local and systemic processes of aging which diminish the effectiveness and the value of previously made correction of urethra and of the bladder bottom topography.

摘要

对667例压力性尿失禁患者的术后治疗结果进行了评估,并进行了统计分析。结果的阐述基于病历数据、询问和门诊对照检查。诊断程序包括括约肌测量、膀胱测压、膀胱镜检查、膀胱造影和咳嗽等激发试验。阴道和尿液生物群落始终进行微生物学评估。在Retzius间隙内进行了由Durfée和Burch改良的Marshall-Marchetti手术。补充程序包括在会阴直肠旁间隙双侧打开后缝合肛提肌。在Durfée手术期间,根据作者自己的改良方法放置第三组缝线。作者进行的压力性尿失禁手术治疗结果原则上与其他人报告的结果没有差异。作者将少数复发归因于局部和全身的衰老过程,这些过程降低了先前对尿道和膀胱底部形态进行矫正的效果和价值。

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