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针对女性尿失禁的马歇尔-马凯蒂-克兰茨膀胱尿道手术的随访研究。

A follow-up study of the Marshall-Marchetti-Krantz vesicourethral operation for female incontinence.

作者信息

Kjer J J, Hebjørn S, Jaszczak P

出版信息

Zentralbl Gynakol. 1983;105(22):1468-71.

PMID:6686749
Abstract

A Follow-up study on 65 consecutive patients who underwent vesicourethral suspension (Marshall-Marchetti-Krantz' operation) in the period 1961-70 was carried out. Indications and results were evaluated. Forty-one patients completed the investigation. Twenty-five patients were operated on correct indication (pure stress incontinence). Twenty patients (80%) were cured and the vaginal examination were in accordance to this result.--Unfortunately several side-effects to this operation were observed (primarily infravesical obstruction, urge phenomenon and dyspareunia). Therefore posterior suspension of the bladder is recommendable. Carefully history, cystometry and colpo-cystourethrography seems necessary in the evaluation of female incontinence.

摘要

对1961年至1970年间连续65例行膀胱尿道悬吊术(马歇尔-马切蒂-克兰茨手术)的患者进行了随访研究。对手术指征和结果进行了评估。41名患者完成了调查。25名患者手术指征正确(单纯压力性尿失禁)。20名患者(80%)治愈,阴道检查结果与此相符。——不幸的是,观察到该手术有几种副作用(主要是膀胱下梗阻、尿急现象和性交困难)。因此,膀胱后悬吊术是可取的。在评估女性尿失禁时,仔细询问病史、进行膀胱测压和阴道膀胱尿道造影似乎是必要的。

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