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作者介绍一种新方法,用阔筋膜补片悬吊术治疗10例复发或严重的张力性尿失禁。患者平均年龄56岁(40～64),平均产次3(2～7),8例是绝经后期,2例是绝经前期。7例曾作过张力性尿失禁手术:前壁修补2例,耻骨后尿道固定术3例,经腹阴道针悬吊1例及针悬吊后加用耻骨后固定1例。1例宫颈癌ⅡA放射治疗后,另外2例是严重的张力性尿失禁、最小尿道关闭压小于0.098kPa(10cm H_2O),其他患者均小于0.196kPa(20cm H_2O)。除1例宫颈癌放疗后例外,9例皆作了子宫切除术。术式如下:在股骨下部,膝盖骨中部4横指宽
The authors describe a new approach for the treatment of 10 cases of recurrent or severe tension incontinence with laminectomy patch suspension. The mean age of patients was 56 years old (40-64 years) with an average of 3 (2-7) births, 8 postmenopausal and 2 premenopausal. Of the 7 patients who underwent tension incontinence surgery, there were 2 cases of anterior wall repair, 3 cases of pubis posterior urethral fixation, 1 case of transvaginal needle suspension and 1 case of needle-suspension and retropubic fixation. One case of cervical cancer ⅡA radiotherapy, the other two cases of severe tension urinary incontinence, the minimum urethral closure pressure less than 0.098kPa (10cm H_2O), the other patients were less than 0.196kPa (20cm H_2O). Except 1 case of cervical cancer after radiotherapy, 9 cases were made hysterectomy. The surgical procedure is as follows: In the lower part of the femur, the middle of the kneecap is 4 fingers wide