Sirls L T, Keoleian C M, Korman H J, Kirkemo A K
Department of Urology, Henry Ford Hospital, Detroit, Michigan, USA.
J Urol. 1995 Nov;154(5):1732-5.
We compared surgical results in a cohort of women after modified Pereyra bladder neck suspension using questionnaire based outcomes analysis versus a retrospective chart review.
Of 151 patients who underwent modified Pereyra bladder neck suspension 102 had complete questionnaire and chart data for review. Mean patient age was 56 years and followup was 25 months.
According to outcomes analysis 48 patients (47.1%) were cured and in 65 (64%) stress urinary incontinence improved compared to 74 (72%) cured and 89 (89%) improved by retrospective review. Of the 102 chart review patients 10 (9%) reported daily pad use compared to 55 of the 102 (53%) in the questionnaire study.
This study controls for patient selection, definition of cure and length of followup, and demonstrates that study methodology profoundly affects reported outcomes for the modified Pereyra bladder neck suspension.
我们使用基于问卷的结果分析与回顾性病历审查，比较了一组接受改良佩雷拉膀胱颈悬吊术的女性患者的手术结果。
在151例行改良佩雷拉膀胱颈悬吊术的患者中，102例有完整的问卷和病历数据可供审查。患者平均年龄为56岁，随访时间为25个月。
根据结果分析，48例患者（47.1%）治愈，65例（64%）压力性尿失禁改善；相比之下，回顾性审查显示74例（72%）治愈，89例（89%）改善。在102例病历审查患者中，10例（9%）报告每天使用护垫，而在问卷研究中的102例患者中有55例（53%）报告每天使用护垫。
本研究对患者选择、治愈定义和随访时间进行了控制，并表明研究方法对改良佩雷拉膀胱颈悬吊术报告的结果有深远影响。
