Lalos O, Berglund A L, Bjerle P
Department of Obstetrics and Gynaecology, University Hospital of Northern Sweden, Umea.
Eur J Obstet Gynecol Reprod Biol. 1993 Mar;48(3):197-205. doi: 10.1016/0028-2243(93)90088-t.
Pad test, cystometry and analysis of micturition were performed in 36 women with stress incontinence before and a year after operation with either retropubic urethrocystopexy (n = 22) or pubococcygeal repair (n = 14). There was no difference in the subjective cure rate between the two groups of women (77% and 79%, respectively). The pad test 1 year after operation showed that 59% of the women in the urethrocystopexy group and 43% of the women in the pubococcygeal repair group had stopped leaking urine. The bladder volume had increased in both groups and the intravesical pressure of the bladder filled to the maximum had increased in the pubococcygeal repair group. The functional length of the urethra, intravesical pressure at maximal urine flow, maximal urine flow rate and urethral conductance were not affected by either operation. Pad test was a more accurate test for an objective evaluation of urine leakage before operation than were the urodynamic investigation or continence tests.
对36名压力性尿失禁女性在耻骨后尿道膀胱固定术（n = 22）或耻骨尾骨肌修复术（n = 14）手术前及术后一年进行了尿垫试验、膀胱测压和排尿分析。两组女性的主观治愈率无差异（分别为77%和79%）。术后1年的尿垫试验显示，尿道膀胱固定术组59%的女性和耻骨尾骨肌修复术组43%的女性已停止漏尿。两组的膀胱容量均增加，耻骨尾骨肌修复术组膀胱充盈至最大时的膀胱内压升高。尿道功能长度、最大尿流率时膀胱内压、最大尿流率和尿道传导率均不受任何一种手术的影响。尿垫试验在术前对尿失禁进行客观评估时比尿动力学检查或控尿试验更准确。
