[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.
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.
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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