Selim M A, Vasquez H H
J Reprod Med. 1979 May;22(5):271-4.
A modification of the Marshall, Marchetti and Krantz procedure is described that uses the Babcock clamp for exposure and the rectus muscle for suspension in order to reduce the complications and technical difficulties. The procedure was utilized for 30 patients, and in the same period 27 patients were treated with the nonmodified procedure. A follow-up from one to six years resulted in one patient with a complete failure and another with a partial failure in the modified group and five patients with complete failure in the nonmodified group. The complications rates were essentially the same. However, in the nonmodified group there was one patient with osteitis pubis, one patient with urethral stenosis and two patients with prolonged urinary retention. The results suggest that the modified technique is simple and successful in correcting stress urinary incontinence in women if coupled with adequate study of the patient and careful selection of the treatment.
本文描述了一种对马歇尔、马尔凯蒂和克兰茨手术的改良方法，该方法使用巴布科克钳进行暴露，并利用直肠肌进行悬吊，以减少并发症和技术难度。该手术应用于30例患者，同期27例患者接受了未改良的手术。一至六年的随访结果显示，改良组有1例患者完全失败，1例部分失败，未改良组有5例患者完全失败。并发症发生率基本相同。然而，未改良组有1例耻骨炎患者、1例尿道狭窄患者和2例长期尿潴留患者。结果表明，如果对患者进行充分的研究并仔细选择治疗方法，改良技术在纠正女性压力性尿失禁方面简单且成功。
