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[Stamey法治疗压力性尿失禁和阴道前壁膨出的经验]

[Experience with the Stamey method for stress incontinence and cystocele vaginalis].

作者信息

Sakamoto W, Kawashima H, Nishijima T, Senju M, Kishimoto T, Maekawa M, Tokizane M

机构信息

Department of Urology, Toyonaka City Hospital.

出版信息

Hinyokika Kiyo. 1988 Jan;34(1):90-4.

PMID:3376810
Abstract

Endoscopic needle suspension of the vesical neck (Stamey) was used in 4 cases of stress incontinence and 4 cases of cystocele vaginalis. In cystocele vaginalis, this method was done following anterior colporrhaphy. In postoperative examination of chain cystourethrogram, posterior urethrovesical angle, anterior urethral inclination angle and base plate of bladder were remarkably improved. In the 13 other women with stress incontinence, chain cystourethrogram showed that posterior urethrovesical angle and anterior urethral inclination angle were greater and bladder base plate was lower in the older group (over 50 years) than in the younger group (under 50 years). These results indicated that there were some difference in the factors of stress incontinence between the younger group and older group with stress incontinence.

摘要

对4例压力性尿失禁患者和4例膀胱阴道膨出患者采用膀胱颈内镜下悬吊术(斯坦梅手术)。对于膀胱阴道膨出,该手术在阴道前壁修补术后进行。术后连续膀胱尿道造影检查显示,后尿道膀胱角、前尿道倾斜角和膀胱底板均有明显改善。在其他13例压力性尿失禁女性患者中,连续膀胱尿道造影显示,老年组(50岁以上)的后尿道膀胱角和前尿道倾斜角大于年轻组(50岁以下),且膀胱底板低于年轻组。这些结果表明,年轻组和老年组压力性尿失禁患者在压力性尿失禁相关因素方面存在一些差异。

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