Wall L L, Helms M, Peattie A B, Pearce M, Stanton S L
Department of Obstetrics and Gynaecology, St. George's Hospital Medical School, London, England.
J Reprod Med. 1994 Jun;39(6):429-35.
Bladder neck position, as determined by preoperative and postoperative resting and straining lateral bead-chain cystourethrograms, was analyzed by logistic regression analysis in 94 women undergoing 98 operations for genuine stress incontinence. A total of 384 roentgenograms were analyzed in an attempt to build a model that would predict the likelihood of surgical success in a given patient based on the preoperative films and explain a successful surgical outcome based on the characteristics of the postoperative films. The most important predictors of success were the number of previous incontinence operations, a large distance between the bladder neck and the pubic symphysis at rest, and increased mobility of the bladder neck before surgery. Successful surgery appeared to be related most closely to decreasing mobility of a previously hypermobile bladder neck.
通过术前和术后静息及用力时的侧位珠链膀胱尿道造影确定膀胱颈位置，对94例因真性压力性尿失禁接受98次手术的女性进行逻辑回归分析。共分析了384张X线片，试图建立一个模型，根据术前X线片预测特定患者手术成功的可能性，并根据术后X线片的特征解释手术成功的结果。成功的最重要预测因素是既往尿失禁手术的次数、静息时膀胱颈与耻骨联合之间的距离较大以及术前膀胱颈活动度增加。成功的手术似乎与降低先前活动过度的膀胱颈的活动度关系最为密切。
