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10年前,作者在为一例压力性尿失禁患者施行Goebell-Stoehel手术时,意外的将一条腹外斜肌腱膜撕破,随即将此游离的腱膜瓣,用两条尼龙线固定于尿道膀胱颈部的下方,以提举尿道,手术效果十分满意。此后的10年间为28例患者施行这一手术,效果良好。手术方法耻骨上横或纵切口,长约3-4cm。切下一块短厚的腱膜瓣(长2cm,宽1.5cm),使其完全游离。表面带些肌肉和一定厚度脂肪,腱膜瓣的两端,各置两条长尼龙线。在带有气囊导尿管的膀胱颈部的下方,将阴道粘膜横行切开,能容纳腱膜瓣即可。经腹部切口向耻骨后间隙解剖,紧贴盆壁向下游离,使与阴道切口水平相对应,深达骨盆腱膜。
Ten years ago, when a Goebell-Stoehel operation was performed on a stress urinary incontinence patient accidentally torn an extra-abdominal oblique aponeurosis, the free aponeurotic flap was then secured to the urinary bladder with two nylon threads Bottom of the neck to lift the urethra, the effect of surgery is very satisfied. The next 10 years for 28 patients underwent this operation, the effect is good. Surgical approach suprapubic transverse or longitudinal incision, about 3-4cm. Cut a thick, thick aponeurotic flap (2 cm long, 1.5 cm wide) so that it is completely free. Some muscle surface and a certain thickness of fat, aponeurotic flap ends, each set two long nylon line. In the bladder with a balloon catheter below the neck, the vaginal mucosa transverse incision, can accommodate the aponeurosis flap can be. The abdominal incision to the retropubic gap anatomy, close to the pelvic wall down to the level corresponding to the vaginal incision, deep pelvic aponeurosis.