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局部麻醉下改良佩雷拉手术。

Modified Pereyra procedure under local anesthesia.

作者信息

Growdon W A, Lebherz T B

出版信息

Obstet Gynecol. 1986 Aug;68(2):272-4.

PMID:3737044
Abstract

The modified Pereyra procedure, a retropubic urethropexy for the correction of anatomic stress urinary incontinence represents a safe, rapid, and well-tolerated technique for restoration of the normal retropubic position of the urethrovesical junction in selected patients. When general or regional anesthesia seem contraindicated due to age, medical risk, or anatomic factors, the procedure may be performed satisfactorily under local anesthesia. Of ten patients who underwent this procedure, nine reported excellent tolerance of the local technique. The postoperative hospital stay averaged three days. The average time from the injection of anesthesia to the termination of the surgical procedure was 45 minutes. Results were successful in 90%. This dependable surgical procedure for the correction of anatomic stress urinary incontinence may be performed in selected patients under local anesthesia with a high degree of patient tolerance.

摘要

改良佩雷拉手术是一种用于矫正解剖性压力性尿失禁的耻骨后尿道固定术,对于特定患者而言,是一种安全、快速且耐受性良好的技术,可恢复尿道膀胱交界处正常的耻骨后位置。当由于年龄、医疗风险或解剖因素而似乎禁忌全身麻醉或区域麻醉时,该手术可在局部麻醉下令人满意地进行。在接受该手术的10名患者中,9名报告对局部技术耐受性良好。术后平均住院时间为三天。从注射麻醉到手术结束的平均时间为45分钟。成功率为90%。这种用于矫正解剖性压力性尿失禁的可靠手术可在特定患者的局部麻醉下进行,患者耐受性高。

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