Spencer J R, O'Conor V J, Schaeffer A J
J Urol. 1987 Mar;137(3):411-5. doi: 10.1016/s0022-5347(17)44052-3.
To compare the efficacy of the Stamey endoscopic vesical neck suspension with the Marshall-Marchetti-Krantz vesicourethropexy in the correction of stress urinary incontinence, we studied retrospectively 127 consecutive patients who underwent either procedure during a defined interval at our institution. Of 95 women for whom adequate data were available 41 (group 1) underwent the Stamey and 54 (group 2) underwent the Marshall-Marchetti-Krantz procedures. Characteristics of the 2 groups were similar. A cure was obtained 21 to 118 months postoperatively in 61 per cent of the patients in group 1 and in 57 per cent in group 2. Cured and improved rates for the 2 groups were 78 and 80 per cent, respectively. Cure rates decreased with time in both groups. Complications occurred in 37.5 per cent of the patients in group 1 and in 18.5 per cent in group 2. Risk factors implicated in the pathogenesis of primary or recurrent stress urinary incontinence did not predispose to failure in either group. Adequate interpretation of our lower cure rates vis-à-vis those reported previously is hampered by the variability between series in the definition of cure and length of postoperative followup.
为比较Stamey内镜膀胱颈悬吊术与Marshall-Marchetti-Krantz膀胱尿道悬吊术治疗压力性尿失禁的疗效，我们回顾性研究了在我院特定时间段内连续接受这两种手术的127例患者。在95例有足够数据的女性中，41例（第1组）接受了Stamey手术，54例（第2组）接受了Marshall-Marchetti-Krantz手术。两组患者的特征相似。术后21至118个月，第1组61%的患者和第2组57%的患者获得治愈。两组的治愈和改善率分别为78%和80%。两组的治愈率均随时间下降。第1组37.5%的患者和第2组18.5%的患者出现并发症。原发性或复发性压力性尿失禁发病机制中的危险因素在两组中均未导致手术失败。由于不同研究系列在治愈定义和术后随访时间长度方面存在差异，我们难以对低于先前报道的治愈率做出充分解释。
