Christensen H, Laybourn C, Eickhoff J H, Frimodt-Møller C
Department of Obstetrics & Gynecology, Gentofte Hospital, University of Copenhagen, Hellerup Denmark.
Scand J Urol Nephrol. 1997 Aug;31(4):349-53. doi: 10.3109/00365599709030618.
This retrospective study compares the long-term results of the Stamey bladder-neck suspension and the Burch colposuspension following operation for urinary incontinence in women. A total of 182 women underwent operation for urinary incontinence: 83 by Stamey bladder-neck suspension and 99 by Burch colposuspension. The case records were perused and questionnaires were sent to the 169 women who were still alive: 129 women had no previous operation for urinary incontinence. At follow-up in this group a median of 7 years after the operation, 32% were completely continent and 39% had improved after the Stamey method, as against 33% and 29%, respectively, after Burch (p > 0.05). The Stamey operation was associated with a lower complication rate (12%) and a lower rate of re-operation (16%) than the Burch operation (23% and 22%, respectively) (p > 0.05). Previous incontinence surgery and mixed type of incontinence was associated with poor outcome in the Stamey group.
这项回顾性研究比较了女性尿失禁手术后斯坦梅膀胱颈悬吊术和伯奇阴道旁悬吊术的长期效果。共有182名女性接受了尿失禁手术：83例行斯坦梅膀胱颈悬吊术，99例行伯奇阴道旁悬吊术。查阅了病例记录，并向169名仍在世的女性发送了问卷：其中129名女性此前未接受过尿失禁手术。在该组术后中位随访7年时，斯坦梅手术组32%的患者完全控尿，39%的患者病情改善；相比之下，伯奇手术组分别为33%和29%（p>0.05）。与伯奇手术（分别为23%和22%）相比，斯坦梅手术的并发症发生率较低（12%），再次手术率也较低（16%）（p>0.05）。既往有尿失禁手术史和混合型尿失禁与斯坦梅手术组的不良预后相关。
