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用于确定尿失禁手术后成功与否的临床、尿动力学和放射学参数

[Clinical, urodynamic and radiologic parameters for determining success following surgery of incontinence].

作者信息

Schüssler B

机构信息

Frauenklinik im Klinikum Grosshadern, Universität München.

出版信息

Arch Gynecol Obstet. 1989;245(1-4):792-4. doi: 10.1007/BF02417570.

DOI:10.1007/BF02417570
PMID:2802768
Abstract

The basis of any quality control after surgery for SUI is objective control by pre- and postoperative quantification of urinary loss. Whereas a clinical stress test or the ICS pad-weigh-test allows to quantify, history as well as urodynamic data do not. For analysis of failures the whole diagnostic range (history, urodynamic, radiology/sonography, gynecologic examination) is needed, which enables to decide about second line therapy. Voiding difficulties and urge-incontinence after surgery for SUI are major complications and have to be critically analysed.

摘要

压力性尿失禁手术后任何质量控制的基础都是通过术前和术后尿失禁量的量化进行客观控制。虽然临床压力测试或国际尿控学会尿垫称重测试可以进行量化,但病史和尿动力学数据却无法做到。对于失败病例的分析,需要全面的诊断范围(病史、尿动力学、放射学/超声检查、妇科检查),这有助于决定二线治疗方案。压力性尿失禁手术后的排尿困难和急迫性尿失禁是主要并发症,必须进行严格分析。

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本文引用的文献

1
[Urinary incontinence in women].[女性尿失禁]
Nord Med. 1953 Aug 20;50(34):1149-52.
2
[The treatment of female stress incontinence of urine combined with uterine and vaginal prolapse by vaginal hysterectomy, anterior and posterior colporrhaphy in 1,003 cases (author's transl)].1003例阴道子宫切除术联合阴道前后壁修补术治疗女性压力性尿失禁合并子宫及阴道脱垂(作者译)
Geburtshilfe Frauenheilkd. 1980 Jan;40(1):6-11. doi: 10.1055/s-2008-1037014.
3
Results of various operations for urinary stress incontinence.尿失禁各种手术的结果。
Arch Gynecol. 1983;233(2):93-100. doi: 10.1007/BF02114785.
4
[Urinary incontinence. The concept of surgical therapy].[尿失禁。手术治疗的概念]
Gynakol Rundsch. 1985;25 Suppl 3:38-46.
5
A comparison of vaginal and suprapubic surgery in the correction of incontience due to urethral sphincter incompetence.阴道手术与耻骨上手术在纠正因尿道括约肌功能不全导致的尿失禁方面的比较。
Br J Urol. 1979 Dec;51(6):497-9. doi: 10.1111/j.1464-410x.1979.tb03586.x.