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目的 对自体阔筋膜作为吊带行尿道悬吊术的疗效和安全性进行分析。方法 2 0 0 0年 1月至 2 0 0 2年 7月 ,收治 1 3例压力性尿失禁伴子宫脱垂及前后壁膨出患者 ,取自体大腿外侧阔筋膜条作为吊带 ,经下腹阴道联合切口行尿道悬吊带手术 ,同时行阴道式全子宫切除及阴道前后壁修补术。结果 1 3例患者均获得治愈 ,无阴道出血、感染、排斥反应等并发症发生。 5例患者在术后出现暂时性排尿困难 ,一个月内症状消失。结论 自体阔筋膜带尿道悬吊术是治疗女性压力性尿失禁的安全有效术式
Objective To analyze the curative effect and safety of translaminar fascia as a sling for urethral suspension. Methods From January 2000 to July 2002, 13 patients with stress urinary incontinence with uterine prolapse and anterior and posterior wall bulging were enrolled. Thigh fascia strips were taken from the outside of the thigh as sling, Union incision urethral suspension surgery, at the same time line vaginal hysterectomy and vaginal anterior and posterior wall repair. Results 13 patients were cured, no vaginal bleeding, infection, rejection and other complications. Five patients had transient dysuria after surgery and disappeared in one month. Conclusion Autologous fascia lacrimalis urethra suspension is a safe and effective surgical treatment of female stress urinary incontinence