论文部分内容阅读
目的：分析经阴道穿刺膀胱颈悬吊术（改良Pereyra法）治疗女性压力性尿失禁的疗效。方法：1985年3月～1997年11月根据排尿期膀胱尿道造影结果将80例女性压力性尿失禁患者进行分型，并采用改良Pereyra法进行治疗。结果：术后随访72例，治愈62例，改善2例，无效8例，总有效率为88．9％；其中Ⅰ型和Ⅱ型患者治愈率较高，Ⅲ型患者治愈率较低。结论：改良Pereyra法是治疗轻度女性压力性尿失禁的简单、安全而有效的方法；对重度尿失禁患者需研究合适的手术方法来提高疗效。
Objective: To analyze the curative effect of transvaginal bladder neck suspension (modified Pereyra method) on female stress urinary incontinence. Methods: From March 1985 to November 1997, 80 female stress urinary incontinence patients were classified according to the result of urinary bladder and urethroplasty. The patients were treated by modified Pereyra method. Results: 72 cases were followed up, 62 cases were cured, 2 cases were improved and 8 cases were ineffective. The total effective rate was 88.9%. The cure rates of type Ⅰ and type Ⅱ were higher, and the cure rate of type Ⅲ was lower. Conclusion: The modified Pereyra method is a simple, safe and effective method to treat mild female stress urinary incontinence. Patients with severe urinary incontinence need to study appropriate surgical methods to improve the curative effect.