Larsson B, Jonasson A, Fianu S
Department of Obstetrics and Gynecology, Karolinska Institutet, Huddinge University Hospital, Sweden.
Gynecol Obstet Invest. 1988;26(3):257-61. doi: 10.1159/000293702.
Transabdominal urethrocystopexy by using a two-component fibrin sealant as a substitute for sutures was performed in 99 women suffering from proved urinary stress incontinence. All were assessed preoperatively, both clinically and by urodynamic tests. This report deals with the results after a follow-up period not shorter than 1 year and up to 4 years. We found it essential not to report postoperative results concerning observation periods shorter than 1 year, as most relapses are observed more than 1 year after operation. Success was defined as absence of objective urine loss at coughing or straining with full bladder in upright position. The results imply that this simple technique is worthy of trial in correcting urinary stress incontinence in women.
对99例经证实患有压力性尿失禁的女性患者采用双组分纤维蛋白密封剂替代缝线进行经腹尿道膀胱固定术。所有患者术前均进行了临床评估和尿动力学检查。本报告阐述了随访期不少于1年且最长4年的结果。我们发现，报告术后观察期短于1年的结果没有意义，因为大多数复发情况出现在术后1年以上。成功的定义为在直立位膀胱充盈时咳嗽或用力时无客观的尿液漏出。结果表明，这种简单的技术值得尝试用于纠正女性压力性尿失禁。
