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压力性尿失禁

Stress incontinence of urine.

作者信息

Zecchi de Souza A

出版信息

Int Surg. 1976 Aug;61(8):396-402.

PMID:987025
Abstract

Urethrocystographic, clinical and surgical aspects have been studied in 50 premenopausal women with Green's type II stress incontinence. Thirty patients were surgically treated by a retropublic (Marshall-Marchetti-Krantz) procedure and 20 by a vaginal (Kelly-Kennedy) method. The radiology and surgical procedures were performed by the author, always using the same sequence and standardization. The relative position of the vesical angle and the urethral inclination were studied. Twelve months after operation the retropublic technic showed topographic modifications that were statistically more significant that those for the vaginal procedure. No difference was noticed in clinical results for the Kelly-Kennedy and Marshall-MArchetti-Krantz procedures (85% and 80% of safety respectively).

摘要

对50例格林氏II型压力性尿失禁的绝经前女性进行了尿道膀胱造影、临床及手术方面的研究。30例患者接受耻骨后(马歇尔-马凯蒂-克兰茨)手术治疗,20例采用经阴道(凯利-肯尼迪)方法治疗。放射学及手术操作均由作者进行,始终采用相同的顺序和标准化流程。研究了膀胱角与尿道倾斜度的相对位置。术后12个月,耻骨后技术显示出的地形学改变在统计学上比经阴道手术更显著。凯利-肯尼迪手术和马歇尔-马凯蒂-克兰茨手术的临床结果无差异(安全性分别为85%和80%)。

相似文献

1
Stress incontinence of urine.压力性尿失禁
Int Surg. 1976 Aug;61(8):396-402.
2
Pre- and postoperative bead chain urethrocystography in female stress urinary incontinence.女性压力性尿失禁的术前及术后珠链尿道膀胱造影术
Acta Obstet Gynecol Scand. 1981;60(4):369-74. doi: 10.3109/00016348109154126.
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[Results of surgical treatment of descensus and urinary incontinence by means of selective abdomino-vaginal technic].[选择性腹-阴道技术治疗子宫脱垂和尿失禁的手术治疗结果]
Zentralbl Gynakol. 1976;98(6):321-9.
4
Marshall-Marchetti-Krantz urethropexy and Burch colposuspension for stress urinary incontinence in women with low pressure and hypermobility of the urethra: early results of a prospective randomized clinical trial.Marshall-Marchetti-Krantz尿道悬吊术与Burch阴道壁悬吊术治疗尿道低压及尿道活动度过高女性压力性尿失禁:一项前瞻性随机临床试验的早期结果
Am J Obstet Gynecol. 1999 Jul;181(1):12-8. doi: 10.1016/s0002-9378(99)70428-x.
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[Topographic modifications of the urethrovesical junction and proximal urethra after combined Marshall-Marchetti-Krantz and Burch surgery].[Marshall-Marchetti-Krantz手术与Burch手术联合应用后尿道膀胱连接部及近端尿道的形态学改变]
Rev Bras Ginecol Obstet. 2009 Aug;31(8):391-6. doi: 10.1590/s0100-72032009000800004.
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Role of cystourethrography in the preoperative evaluation of stress urinary incontinence in women.膀胱尿道造影在女性压力性尿失禁术前评估中的作用
J Reprod Med. 1988 Apr;33(4):372-6.
7
[Role of the bladder neck in urinary continence in women after urethropexy].
Arch Esp Urol. 1994 Jul-Aug;47(6):597-600.
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Management of recurrent urinary stress incontinence by the Marshall-Marchetti-Krantz vesicourethropexy.
J Urol. 1984 Nov;132(5):912-4. doi: 10.1016/s0022-5347(17)49943-5.
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[Initial clinical and cysto-urethral tonometric results with a new modification of the Marshall-Marchetti-Krantz-Operation].[采用Marshall-Marchetti-Krantz手术新改良术式的初步临床及膀胱尿道压力测定结果]
Geburtshilfe Frauenheilkd. 1980 Sep;40(9):784-90. doi: 10.1055/s-2008-1039332.
10
Longevity of the Marshall-Marchetti-Krantz procedure.
Ann Chir Gynaecol. 2001;90(4):286-9.

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