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据文献记载,矫正张力性尿失禁的手术术式大约有100多种。现有的术式较混乱,报道的有阴道前壁缝合术、腹部耻骨后尿道固定术、经腹阴道针悬吊术及筋膜悬吊术。 1959年Pereyra首先采用长针从阴道至腹壁前筋膜吊线的膀胱颈悬吊术。这种术式比传统的腹部耻骨后固定术优越,手术时间短,不需打开腹壁前筋膜,从而减少了术中、术后病率的发生。自Pereyra报道以后,许多相应的改良术式不断涌现,导致了发明术式年代、术式的命名、手术指征以及操作程序上的混乱。
According to the literature, about 100 kinds of surgical procedures for correcting tension urinary incontinence. Existing surgical methods are more chaotic, reported with anterior vaginal suture, abdominal pubic posterior urethral fixation, transabdominal vaginal needle suspension and fascia suspension. In 1959 Pereyra first used a long needle from the vagina to the anterior abdominal wall fascia suspension bladder neck suspension. This operation than the traditional abdominal pubis posterior fixation is superior, the operation time is short, without opening the anterior abdominal fascia, thereby reducing the incidence of postoperative morbidity. Since Pereyra’s report, many corresponding improvements have emerged that led to confusion over the invention age, surgical naming, surgical indications, and procedural procedures.