论文部分内容阅读
作者对40例经物理疗法失败的应力性尿失禁患者用Stamey氏经内窥镜膀胱颈悬吊术进行前瞻性研究。平均年龄50岁(36～75),23例单纯应力尿失禁,另17例合并尿急和尿频。检查方法有静脉泌尿系造影,膀胱镜检,4管膀胱内压测量,尿动力学检查等;有5例诊断为逼尿肌不稳定。15例既往接受抗失禁手术24次;8例切除了子宫。Stamey手术有三点改进:尿道旁2个小横切口代替Stamey的单一“T”形切口;用硅橡胶而非涤纶悬带;放置悬带后仅需一次膀胱镜确定膀胱颈的活动性和上升度,核对有无吊带穿破膀胱。手术历时仅25～35分钟,术后耻上尿管导流平均6天撤管,术后依赖
The authors prospectively evaluated 40 patients with stress urinary incontinence who failed physical therapy with Stamey’s endoscopic bladder neck suspension. The average age was 50 years (36-75), 23 cases of simple stress incontinence, the other 17 cases of urinary urgency and frequent urination. Inspection methods include venous urography, cystoscopy, 4 bladder pressure measurement, urodynamic examination; 5 cases were diagnosed as detrusor instability. Fifteen had previous incontinence surgery 24 times; eight had the uterus removed. There are three improvements in Stamey surgery: two small transverse incisions in the urethra instead of a single “T” shaped incision in Stamey; a silicone rubber instead of a polyester sling; a single cystoscope placed in the sling to determine bladder neck mobility and ascent , Check whether the strap worn bladder. Surgical lasted only 25 to 35 minutes, postoperative shame on the catheter drainage an average of 6 days after the withdrawal, postoperative dependence