Varner R E
Department of Obstetrics and Gynecology, University of Alabama, Birmingham 35294.
Am J Obstet Gynecol. 1990 Aug;163(2):551-7. doi: 10.1016/0002-9378(90)91196-j.
A brief review of the Pereyra and the Stamey procedures and their modifications, including success rates and potential problems, is presented. A new modified technique is described that has potential advantages of ease, rapidity, less dissection, and less blood loss than may be seen with the modified Pereyra procedure and less chance of foreign body reaction than may be seen with the Stamey procedure. Twenty patients with significant stress urinary incontinence (14 with concurrent severe pelvic relaxation) underwent the procedure with an 80% cure plus 5% significant improvement rate noted 12 to 39 months after operation. All failures occurred in patients who were obese and involved apparent suture pull-through. Complications were minimal. Suggested causes for failures are discussed.
本文简要回顾了佩雷拉手术和斯塔米手术及其改良术式，包括成功率和潜在问题。文中描述了一种新的改良技术，该技术具有操作简便、速度快、解剖范围小、失血量比改良佩雷拉手术少以及异物反应几率比斯塔米手术小等潜在优势。20例有明显压力性尿失禁的患者（14例同时伴有严重盆腔松弛）接受了该手术，术后12至39个月的治愈率为80%，另有5%有显著改善。所有失败病例均发生在肥胖患者中，且均出现明显的缝线拉出情况。并发症极少。文中还讨论了手术失败的可能原因。
