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[前位提肌成形术治疗盆腔器官脱垂和尿失禁:一项临床及尿动力学研究]

[Anterior levatorplasty in prolapse and incontinence: a clinical and urodynamic study].

作者信息

Kölbl H, Riss P, Janisch H

出版信息

Geburtshilfe Frauenheilkd. 1986 May;46(5):326-8. doi: 10.1055/s-2008-1035925.

DOI:10.1055/s-2008-1035925
PMID:3721165
Abstract

In this follow-up study we demonstrate the clinical and urodynamic results in 46 patients who underwent modified anterior repair because of vaginal prolapse or incontinence. Besides frequent inflammations of the lower urinary tract (70%), dehiscence of the anterior vaginal wall was quite common (30%). Considering the patient pre- and postoperative anamnestic data, we found a significant increase in continent patients (4 preoperative-18 postoperative). The urodynamic parameters showed a change in the first urge to void at significant higher bladder volumes, and a significant increase of the functional length of the urethra. After surgery a negative stress profile and a positive clinical stress test were seen less often.

摘要

在这项随访研究中,我们展示了46例因阴道脱垂或尿失禁接受改良前路修复手术患者的临床和尿动力学结果。除下尿路频繁发炎(70%)外,阴道前壁裂开也相当常见(30%)。考虑患者术前和术后的既往病史数据,我们发现控尿患者显著增加(术前4例 - 术后18例)。尿动力学参数显示,首次排尿欲望出现时膀胱容量显著增加,尿道功能长度显著增加。术后出现阴性压力曲线和阳性临床压力试验的情况较少见。

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