应力性尿失禁和应力性、急迫性相混合的尿失禁的治疗主要为手术。逼尿肌稳定者经阴道或耻上常规抗失禁手术的治愈率约为90%;而逼尿肌不稳定(DI)者常规抗失禁手术的治愈率显著下降。故有人曾推荐用药物治疗。本文对前阴道壁修补术治疗运动性急迫尿失禁的疗效做一回顾性分析。 3年内连续治疗16例此种患者。伴前和/或后阴道壁脱垂。均未患过神经系紊乱、真性尿失禁者,对逼尿肌抑制剂无效,均施行阴道壁修补术。随访时期平均37.3月(8～72月)。手术前、后的评价包括病史、中段尿培养、妇科检查、自发性尿流测定、膀胱容积压力检测、压力流试验及排泄性膀胱尿道造影。应力试验为患者在仰卧或站位,用200～300ml盐水充盈膀胱,令患者反复咳嗽时见到客观 Stress urinary incontinence and stress, urgency mixed urinary incontinence treatment mainly surgery. The cure rate of transvaginal or asymptomatic conventional incontinence surgery in detrusor stabilizers is about 90%; while the detrusor instability (DI) has a significant reduction in the cure rate of conventional incontinence surgery. Therefore, it has been recommended to use drug treatment. This article retrospectively analyzed the curative effect of anterior vaginal wall repair in treating urgency urinary incontinence. Sixteen consecutive patients were treated within 3 years. Pre and / or post vaginal wall prolapse. Neither have suffered neurological disorders, true urinary incontinence, invalid for detrusor inhibitors, are implemented vaginal wall repair. The average follow-up was 37.3 months (from August to July). Postoperative and postoperative evaluations included history, mid-stage urine culture, gynecological examinations, spontaneous uroflow measurements, bladder volume pressure test, pressure flow test, and excretory cystocele. Stress test for patients in the supine or station filled with 200 ~ 300ml saline bladder, so that patients see the objective cough repeatedly