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压力性尿失禁(stress urinary incontinence,SUI)是由于腹部压力增加导致膀胱内压力大于尿道压力所致。女性SUI的正规治疗包括各种外科治疗或药物治疗。本文报告作者用阴道避孕隔膜治疗女性SUI的经验。材料和方法本组12例,均进行病史、体格检查、尿液分析、尿流动学检查、膀胱镜检查及Marshall-Marchetti试验。SUI的诊断依据:临床尿失禁病史、尿流动力学及膀胱镜检查正常、尿液分析正常、Marshall-Marchetti试验阳性。每例均接受正常放置和取出阴道隔膜的方法,2周后再询问病史、体检、尿液分析及尿流动力学检查,之后每月检查1次,询问有无不适证状,排尿梗阻及尿失禁。
Stress urinary incontinence (SUI) is due to an increase in abdominal pressure resulting in bladder pressure greater than urethral pressure. Formal treatment of female SUI includes a variety of surgical treatment or drug treatment. This article reports the author’s experience with vaginal contraception for the treatment of female SUI. Materials and Methods The group of 12 patients, were history, physical examination, urine analysis, urodynamic studies, cystoscopy and Marshall-Marchetti test. SUI diagnosis based on: history of clinical urinary incontinence, urodynamics and cystoscopy were normal, urine analysis was normal, positive Marshall-Marchetti test. Each case received normal placement and vaginal septum removal method, and then asked about history, physical examination, urine analysis and urodynamic examination after 2 weeks, then check once a month, asked whether the certificate of discomfort, urinary obstruction and urinary incontinence .