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[使用戈尔特斯吊带治疗压力性尿失禁的“风险”]

[The "hazards" of using a Gore-Tex sling in the treatment of stress urinary incontinence].

作者信息

Debodinance P, De Bièvre P, Parmentier D, Dubrulle R, Querleu D, Crépin G

机构信息

Service de Gynécologie-Obstétrique, CH Dunkerque, Saint-Pol-sur-Mer.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1994;23(6):665-70.

PMID:7995909
Abstract

OBJECTIVE

To analyze the use of the Gore-Tex in the treatment of exertion incontinence.

METHODS

During 1991, two gynecology units used the Mouchel technique and a Goebell-Stoeckel type technique in 72 patients with exertion incontinence, alone in 36 and in combination with a cure for prolapsus in 36 others. Results were analyzed with the chi 2 squared test and the Student's test for paired series.

RESULTS

The rate of incontinence was 65% with a range from 60 to 66.7% according to the type of technique used and whether a cure for prolapsus was also performed. Gore-Tex was not well tolerated in 23/72 cases. Rejection was seen in 20 to 37.5% according to the type of vaginal suture and the type of protection.

CONCLUSION

The high rate of rejection suggests prudence in using Gore-Tex.

摘要

目的

分析戈尔特斯(Gore-Tex)在压力性尿失禁治疗中的应用。

方法

1991年期间,两个妇科科室对72例压力性尿失禁患者采用了穆歇尔(Mouchel)技术和戈贝尔 - 施托克(Goebell-Stoeckel)型技术,其中36例单独使用,另外36例与子宫脱垂治疗联合使用。采用卡方检验和配对系列的学生t检验分析结果。

结果

根据所使用的技术类型以及是否同时进行子宫脱垂治疗,尿失禁发生率为65%,范围在60%至66.7%之间。72例中有23例对戈尔特斯耐受性不佳。根据阴道缝合类型和保护类型,排斥率在20%至37.5%之间。

结论

高排斥率表明在使用戈尔特斯时应谨慎。

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1
[The "hazards" of using a Gore-Tex sling in the treatment of stress urinary incontinence].[使用戈尔特斯吊带治疗压力性尿失禁的“风险”]
J Gynecol Obstet Biol Reprod (Paris). 1994;23(6):665-70.
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[Tolerance of a Gore-Tex band in suburethral suspension using the Mouchel technique].[使用穆歇尔技术的戈尔特斯尿道下悬吊带的耐受性]
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