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尿道压力轮廓对尿失禁手术预后的影响(作者译)

[The influence of the urethral pressure profile on the prognosis of incontinence surgery (author's transl)].

作者信息

Grüneberger A, Geier G

出版信息

Geburtshilfe Frauenheilkd. 1981 Jul;41(7):465-8. doi: 10.1055/s-2008-1037284.

Abstract

In 114 out of 1215 stress-incontinent women the maximal urethral closure pressure was determined. Descensus of urinary bladder and urethra was proved by lateral urethrocystography. In the group of sphincter weakness (Edwards) which was to be found in 46 patients, only 48% became continent after colporrhaphy, Marshall-Marchetti-Krantz or sling surgery. If the pressure profile was found to be normal 74% of our patients felt cured after incontinence-operation. Sphincter weakness determines a failure due to surgery which is statistically of significance (P less than 0,01).

摘要

在1215名压力性尿失禁女性中,对114名进行了最大尿道闭合压测定。通过侧位尿道膀胱造影证实了膀胱和尿道的脱垂。在46例患者中发现的括约肌无力(爱德华兹分型)组中,经阴道修补术、马歇尔-马切蒂-克兰茨手术或吊带手术后,只有48%的患者实现了尿失禁治愈。如果压力曲线正常,我们74%的患者在尿失禁手术后感觉治愈。括约肌无力决定了手术失败,且具有统计学意义(P<0.01)。

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