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针对真性压力性尿失禁的Burch阴道悬吊术的临床及尿动力学评估。

A clinical and urodynamic assessment of the Burch colposuspension for genuine stress incontinence.

作者信息

Hilton P, Stanton S L

出版信息

Br J Obstet Gynaecol. 1983 Oct;90(10):934-9. doi: 10.1111/j.1471-0528.1983.tb06765.x.

DOI:10.1111/j.1471-0528.1983.tb06765.x
PMID:6684950
Abstract

Twenty-five women having a Burch colposuspension operation were assessed before and after the operation by urodynamic investigations including urethral pressure measurements at rest and on stress. After 3 months, the objective cure rate was 88%. An increase in voiding difficulty and urodynamic evidence of outflow obstruction was seen after the operation. The operation does not induce any significant change in resting urethral profile variables. The stress profile showed accentuation in pressure transmission ratios, most marked in the proximal urethra. These changes are likely to be mechanical in origin and may be responsible for voiding difficulties in those women who initiate voiding by straining.

摘要

对25名接受了Burch阴道悬吊术的女性在手术前后进行了尿动力学检查评估,包括静息和应激状态下的尿道压力测量。3个月后,客观治愈率为88%。术后出现排尿困难增加以及流出道梗阻的尿动力学证据。该手术并未引起静息尿道轮廓变量的任何显著变化。应激状态下的轮廓显示压力传递比率增加,在尿道近端最为明显。这些变化可能源于机械因素,并且可能是那些通过用力排尿开始排尿的女性出现排尿困难的原因。

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A clinical and urodynamic assessment of the Burch colposuspension for genuine stress incontinence.针对真性压力性尿失禁的Burch阴道悬吊术的临床及尿动力学评估。
Br J Obstet Gynaecol. 1983 Oct;90(10):934-9. doi: 10.1111/j.1471-0528.1983.tb06765.x.
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引用本文的文献

1
Is the role of Burch colposuspension fading away in this epoch for treating female urinary incontinence?在这个时代,Burch阴道悬吊术在治疗女性尿失禁方面的作用正在逐渐消失吗?
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Aug;18(8):937-42. doi: 10.1007/s00192-006-0264-x. Epub 2006 Dec 1.
2
Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence.无张力阴道吊带术与膀胱颈悬吊术作为压力性尿失禁主要治疗方法的前瞻性多中心随机试验
BMJ. 2002 Jul 13;325(7355):67. doi: 10.1136/bmj.325.7355.67.
3
[Evaluating the success of surgery of stress incontinence--subjective and objective success].
评估压力性尿失禁手术的成功率——主观和客观成功率
Arch Gynecol Obstet. 1989;245(1-4):795-7. doi: 10.1007/BF02417571.