纱网吊带手术后尿道坏死和膀胱梗阻的并发症较多,曾受到批判。作者1983年治疗的105例患者有15例失败,2例尿瘘,本文此次用尿动力学检查选择100例应力尿失禁患者,用改良的吊带手术治疗,其失败率相当低。尿动力学检查膀胱内压升高>30cm 水柱为严重膀胱逼尿肌不稳定,不宜手术。膀胱内压升高在15至30cm 水柱之间者为轻度和中度膀胱逼尿肌不不稳定,实行吊带手术。作者将 Aldridge(1942)及 Moir(1968)的手术技术加以改进,将原为直 Diaper mesh surgery urethral necrosis and bladder obstruction more complications have been criticized. Of 105 patients treated in 1983, 15 patients failed and 2 patients had urinary fistula. In this study, 100 patients with stress urinary incontinence who were selected with urodynamic examination were treated with modified sling. The failure rate was very low. Urodynamic examination increased intravesical pressure> 30cm water column was severe detrusor instability, not surgery. Bladder pressure increased between 15 to 30cm of water between the mild and moderate bladder detrusor instability, the implementation of sling surgery. The authors refine the surgical techniques of Aldridge (1942) and Moir (1968)