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[伯奇宫颈膀胱固定术的长期结果。关于40例病例]

[Long-term results of Burch's cervico-cystopexy. Apropos of 40 cases].

作者信息

Robert M, Souaiby N, Guiter J, Avérous M, Grasset D

机构信息

Service d'Urologie, Hôpital Lapeyronie, Montpellier.

出版信息

Prog Urol. 1994 Aug-Sep;4(4):555-60.

PMID:7920729
Abstract

Forty patients with stress urinary incontinence, treated between April 1982 and June 1988 according to Burch's technique, were reviewed. 24 (60%) successes, 8 (20%) major improvements and 8 (20%) failures were recorded with a mean follow-up of 85 months. Compared to the early postoperative findings, a marked deterioration in urinary continence was observed in 4 cases (10%). These results are in contrast with earlier papers reporting remarkable stability of the therapeutic performance of this type of cervicocystopexy. Although too brief to allow reliable statistical analysis, this series simply draws attention to the hypothetical long-term efficacy of Burch's operation.

摘要

回顾了1982年4月至1988年6月间根据伯奇技术治疗的40例压力性尿失禁患者。记录到24例(60%)成功、8例(20%)显著改善和8例(20%)失败,平均随访85个月。与术后早期结果相比,4例(10%)患者出现尿失禁明显恶化。这些结果与早期报道此类宫颈膀胱固定术治疗效果显著稳定的论文形成对比。尽管该系列病例数太少,无法进行可靠的统计分析,但它只是提请人们关注伯奇手术假设的长期疗效。

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