Strittmatter H J, Neises M, Wischnik A, Melchert F
Frauenklinik, Klinikum Mannheim, Fakultät der Universität Heidelberg.
Geburtshilfe Frauenheilkd. 1993 Sep;53(9):630-4. doi: 10.1055/s-2007-1023600.
In this study, a follow-up examination was carried out, comprising 59 female patients who were operated between the years 1985 and 1991 because of recurrent urinary incontinence. We distinguished two different operating methods: 34 women were treated following the Marshall-Marchetti-Krantz operation technique, whereas a fasciaplasty-suspension was employed om 25 patients. At the urodynamic follow-up examination, the patients had experienced an average history of 2 years' recurrent urinary incontinence. The patients' subjective observation of anamnestic urinary incontinence was objectified by a clinical cough test, cystotonometry and sonography of the small pelvis. Making extensive use of the urodynamic examination possibilities showed a 79.4% improvement following the Marshall-Marchetti-Krantz operation in comparison to a 52% improvement after the fasciaplasty operation. The operations success is assessed by evaluation of the depression quotient. Here the Marshall-Marchetti-Krantz operation resulted in a significant improvement. After the fasciaplasty operation, however, this was not found to be the case.
在本研究中，我们对59例女性患者进行了随访检查，这些患者在1985年至1991年间因复发性尿失禁接受了手术。我们区分了两种不同的手术方法：34名女性采用马歇尔-马凯蒂-克兰茨手术技术进行治疗，而25名患者采用筋膜成形术-悬吊术。在尿动力学随访检查中，患者复发性尿失禁的平均病史为2年。通过临床咳嗽试验、膀胱压力测定和盆腔超声检查，对患者关于既往尿失禁的主观观察进行了客观化评估。广泛利用尿动力学检查方法发现，与筋膜成形术后52%的改善率相比，马歇尔-马凯蒂-克兰茨手术后改善率为79.4%。通过评估抑郁商数来评估手术成功率。在此方面，马歇尔-马凯蒂-克兰茨手术取得了显著改善。然而，筋膜成形术后并未发现这种情况。
