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马歇尔-马凯蒂-克兰茨(MMK)手术新改良术式的随访

Follow-up of a new modification of the Marshall-Marchetti-Krantz (MMK) procedure.

作者信息

Briel R C

出版信息

Arch Gynecol. 1986;239(1):1-9. doi: 10.1007/BF02134281.

DOI:10.1007/BF02134281
PMID:3740959
Abstract

Clinical and urodynamic effects of a new modification of the Marshall-Marchetti-Krantz procedure for correction of urinary stress incontinence were studied 3-6 years after surgery. A clinical follow-up was made in 239 patients, and 39 had a urodynamic assessment. The subjective cure rate for incontinence was 69% while in another 20% there was improvement. Symptoms caused by the prolapse were relieved in 83%. The incidence of late complications was below 1%. Urodynamic measurements indicated a cure rate of 66%. Pressure transmission to the urethra was significantly improved. At follow-up, the functional length of the urethra and urethral closure pressure values were significantly higher than before operation. The incidence of urge (incontinence) and voiding difficulties was unchanged.

摘要

对Marshall-Marchetti-Krantz手术的一种新改良方法用于治疗尿失禁进行了研究,观察术后3至6年的临床及尿动力学效果。对239例患者进行了临床随访,其中39例进行了尿动力学评估。尿失禁的主观治愈率为69%,另有20%的患者症状有所改善。83%的患者脱垂引起的症状得到缓解。晚期并发症的发生率低于1%。尿动力学测量显示治愈率为66%。尿道压力传递得到显著改善。随访时,尿道功能长度和尿道闭合压力值显著高于术前。尿急(失禁)和排尿困难的发生率未变。

相似文献

1
Follow-up of a new modification of the Marshall-Marchetti-Krantz (MMK) procedure.马歇尔-马凯蒂-克兰茨(MMK)手术新改良术式的随访
Arch Gynecol. 1986;239(1):1-9. doi: 10.1007/BF02134281.
2
[Initial clinical and cysto-urethral tonometric results with a new modification of the Marshall-Marchetti-Krantz-Operation].[采用Marshall-Marchetti-Krantz手术新改良术式的初步临床及膀胱尿道压力测定结果]
Geburtshilfe Frauenheilkd. 1980 Sep;40(9):784-90. doi: 10.1055/s-2008-1039332.
3
Urodynamic findings following surgery in women with urinary stress incontinence. III. Communication: A modified Marshall-Marchetti-Krantz procedure.压力性尿失禁女性手术后的尿动力学研究结果。III. 交流:改良的马歇尔-马凯蒂-克兰茨手术
Arch Gynecol. 1981;230(4):299-306. doi: 10.1007/BF02199678.
4
[Urodynamic observations on the Marshall-Marchetti-Krantz operation].
Geburtshilfe Frauenheilkd. 1986 Sep;46(9):649-53. doi: 10.1055/s-2008-1036274.
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Marshall-Marchetti-Krantz urethropexy and Burch colposuspension for stress urinary incontinence in women with low pressure and hypermobility of the urethra: early results of a prospective randomized clinical trial.Marshall-Marchetti-Krantz尿道悬吊术与Burch阴道壁悬吊术治疗尿道低压及尿道活动度过高女性压力性尿失禁:一项前瞻性随机临床试验的早期结果
Am J Obstet Gynecol. 1999 Jul;181(1):12-8. doi: 10.1016/s0002-9378(99)70428-x.
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The margin to incontinence after three types of operation for stress incontinence.三种压力性尿失禁手术术后的控尿边缘情况。
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7
Burch colposuspension versus modified Marshall-Marchetti-Krantz urethropexy for primary genuine stress urinary incontinence: a prospective, randomized clinical trial.Burch阴道旁悬吊术与改良Marshall-Marchetti-Krantz尿道悬吊术治疗原发性真性压力性尿失禁的前瞻性随机临床试验
Am J Obstet Gynecol. 1994 Dec;171(6):1573-9. doi: 10.1016/0002-9378(94)90404-9.
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[Urethrovesicopexy by the Marshall-Marchetti-Krantz method with urodynamic control in women with stress urinary incontinence].[采用马歇尔-马凯蒂-克兰茨法行尿道膀胱悬吊术并对压力性尿失禁女性进行尿动力学监测]
Khirurgiia (Sofiia). 1993;46(3):36-8.
9
Surgical complications and results of modified Marshall-Marchetti-Krantz procedure for urinary incontinence.改良Marshall-Marchetti-Krantz手术治疗尿失禁的手术并发症及结果
Obstet Gynecol. 1979 Apr;53(4):447-50.
10
[Recurrence rate following surgery of incontinence in patients with hypotonic urethra].[低张性尿道患者尿失禁手术后的复发率]
Geburtshilfe Frauenheilkd. 1989 Oct;49(10):865-71. doi: 10.1055/s-2008-1036101.

本文引用的文献

1
Detrusor muscle instability--a complication of surgery?逼尿肌不稳定——手术并发症?
Am J Obstet Gynecol. 1981 Jan 15;139(2):219. doi: 10.1016/0002-9378(81)90452-x.
2
Morphological changes after surgical treatment of urinary incontinence stages II and III.尿失禁II期和III期手术治疗后的形态学变化
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The value of urodynamic testing in stress urinary incontinence.尿动力学检查在压力性尿失禁中的价值
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4
[Surgical treatment of female urinary incontinence relapses (author's transl)].女性尿失禁复发的外科治疗(作者译)
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[Urodynamic findings in women after surgery for stress incontinence: urethrovesical suspension according to Pereyra (author's transl)].压力性尿失禁手术后女性的尿动力学检查结果:佩雷拉尿道膀胱悬吊术(作者译)
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Treatment of urinary stress incontinence with anterior colporrhaphy.
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Primary management of urinary stress incontinence by the Marshall-Marchetti-Krantz vesicourethropexy.
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Urodynamic effects of retropublic urethropexy in genuine stress incontinence.耻骨后尿道悬吊术治疗真性压力性尿失禁的尿动力学效应
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9
Urethral pressure profile at pubococcygeal repair for stress incontinence.耻骨尾骨肌修复术治疗压力性尿失禁时的尿道压力分布图
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10
[Initial clinical and cysto-urethral tonometric results with a new modification of the Marshall-Marchetti-Krantz-Operation].[采用Marshall-Marchetti-Krantz手术新改良术式的初步临床及膀胱尿道压力测定结果]
Geburtshilfe Frauenheilkd. 1980 Sep;40(9):784-90. doi: 10.1055/s-2008-1039332.