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尿失禁是困扰多数妇女的普通疾患,其发病随年龄增长而升高。治疗老年妇女尿失禁的各种手术常失败。注射法治疗尿失禁方法简单,最早采用的聚四氟乙烯糊剂(Teflon)因动物实验证明可迁移肺、肝和脑中已放弃。戊二醛交键(GAX)胶原降低了其抗原性而增加了植入稳定性,注射后治疗尿失禁初期效果及治愈和改善率为80％～90％。本文为GAX治疗老年妇女2年随诊的结果。 35例患者平均年龄76(62～90)岁,中数产次2(1～2)次。电视膀胱尿道造影(VCU)诊断为真性应力尿失禁,尿垫称重法(患者膀胱充生盐水250ml,散步半小时做咳嗽等激惹动作后称尿垫)记录漏尿程度。GAX胶原1ml注射前臂皮内,14天后阴性者(28例)参加观察。全麻膀胱镜观察下用10cm20号
Urinary incontinence is a common condition that plagues most women and its incidence increases with age. Various procedures for treating urinary incontinence in elderly women often fail. Injecting method for the treatment of urinary incontinence method is simple, the earliest used Teflon paste (Teflon) animal experiments have shown that migratory lung, liver and brain have been abandoned. Glutaraldehyde cross-linking (GAX) collagen reduces its antigenicity and enhances the stability of implantation. The initial effect of treatment of urinary incontinence after injection and cure and improvement rate is 80% -90%. This article is GAX treatment of elderly women 2 years follow-up results. The average age of 35 patients was 76 (62-90) years, and the median was 2 (1-2) times. TV bladder and urethra imaging (VCU) diagnosis of true stress incontinence, urine pad weighing method (patients with bladder filling saline 250ml, walk for half an hour to do cough and other irritating action after the said urinary pad) record the degree of leakage of urine. GAX collagen 1ml injection of forearm skin, 14 days after the negative (28 cases) to participate in the observation. Cystoscopy under general anesthesia with 10cm20 number