Alonzo-Sosa J E, Flores-Rodríguez T, Pérez-Bojórquez D M
Instituto Mexicano del Seguro Social, Hospital de Gineco-Pediatría, Centro Médico Nacional El Fénix Mérida, Yucatán, México.
Ginecol Obstet Mex. 1997 Jan;65:13-6.
Sixty-five women underwent either the modified Burch-Tanagho colposuspension or the modified Pereyra procedure for surgical correction of stress urinary incontinence. All were evaluated clinically before the surgery and then annually for 5 years. There was a subjective cure rate of 90% versus 86.6%, not statistically significant. Early postoperative normal bladder function and reduced urinary tract infection with the Burch procedure was statistically significant (P < 0.05). No statistically significant differences were found for the intraoperative blood loss and the total hospital stay. The operative time for the Pereyra procedure was significantly short (P < 0.05). The present study has shown that both the Burch colposuspension and the modified Pereyra procedure are highly effective at long term for treating stress urinary incontinence.
65名女性接受了改良的Burch-Tanagho阴道前壁悬吊术或改良的Pereyra手术,以手术矫正压力性尿失禁。所有患者在手术前均接受临床评估,然后每年评估一次,持续5年。主观治愈率分别为90%和86.6%,无统计学意义。Burch手术术后早期膀胱功能正常及尿路感染减少具有统计学意义(P<0.05)。术中失血量和总住院时间无统计学差异。Pereyra手术的手术时间明显较短(P<0.05)。本研究表明,Burch阴道前壁悬吊术和改良的Pereyra手术长期治疗压力性尿失禁均非常有效。