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目的:探讨腹腔镜下膀胱颈Cooper韧带悬吊术(Burch手术)治疗女性压力性尿失禁的使用方法和临床价值。方法:回顾性总结2005年3月至2009年2月采用腹腔镜Burch手术治疗女性压力性尿失禁的临床资料32例。结果:手术时间75~140 min,平均90 min,术中出血40~80 mL,平均55 mL。随访3~12个月,平均6个月,32例患者中28例症状完全缓解,4例有效。无1例手术并发症。结论:采用腹腔镜Burch手术治疗压力性尿失禁临床效果满意,并发症少,是一种较为理想的方法。
Objective: To explore the use and clinical value of laparoscopic bladder neck cooper ligament suspension (Burch surgery) in the treatment of female stress urinary incontinence. Methods: 32 patients with stress urinary incontinence received laparoscopic Burch surgery from March 2005 to February 2009 were retrospectively reviewed. Results: The operation time ranged from 75 to 140 minutes with an average of 90 minutes. The intraoperative bleeding ranged from 40 to 80 mL with an average of 55 mL. All cases were followed up for 3 to 12 months, with an average of 6 months. Twenty-eight of the 32 patients had complete remission of symptoms and 4 were effective. No case of surgical complications. Conclusion: Laparoscopic Burch surgical treatment of stress urinary incontinence with satisfactory clinical results, fewer complications, is an ideal method.