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人工尿道括约肌的进一步经验

Further experience with the artificial urinary sphincter.

作者信息

Lindner A, Kaufman J J, Raz S

出版信息

J Urol. 1983 May;129(5):962-3. doi: 10.1016/s0022-5347(17)52484-2.

DOI:10.1016/s0022-5347(17)52484-2
PMID:6854769
Abstract

Since December 1977, 78 patients with severe urinary incontinence have been treated by insertion of an artificial sphincter at our medical center. In 53 patients the device was inserted and activated at the same time. Of these 53 patients 21 (40 per cent) are perfectly dry, 8 (15 per cent) are improved but are occasionally wet and 24 (45 per cent) have failed. In 25 patients activation of the sphincter was delayed. Of this group 14 patients (56 per cent) are perfectly dry, 2 (8 per cent) are occasionally wet and 9 (36 per cent) have failed. The delayed activation technique has reduced the failure rate from 45 to 36 per cent and we recommend its use in high risk patients.

摘要

自1977年12月以来,我们医疗中心对78例严重尿失禁患者进行了人工括约肌植入治疗。53例患者在植入装置的同时进行了激活。在这53例患者中,21例(40%)完全干爽,8例(15%)有所改善但偶尔仍会潮湿,24例(45%)治疗失败。25例患者的括约肌激活被推迟。在这组患者中,14例(56%)完全干爽,2例(8%)偶尔潮湿,9例(36%)治疗失败。延迟激活技术已将失败率从45%降至36%,我们建议在高危患者中使用该技术。

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