【摘要】 目的评价自制聚丙烯网片及穿刺锥经闭孔尿道中段悬吊术治疗女性压力性尿失禁的安全性和治疗效果。方法从2005年3月至2013年12月采用自制聚丙烯网片及穿刺锥对尿失禁门诊检查确诊为压力性尿失禁的230例,行经闭孔尿道中段悬吊术。对术中的情况及治疗后的效果进行分析定期随访。结果全部患者在静脉麻醉或骶麻下完成手术,平均手术时间20 min,术中出血30 ml,200例患者术后24 h去除导尿管后能自行排尿,30例出现残余尿>100 ml,经留置导尿48 h后好转。术后随访6~12个月未见复发。结论自制聚丙烯网片及穿刺锥经闭孔尿道中段悬吊术除方法简单易学、操作安全、调节悬带松紧方便、术后恢复时间短效果确切外,且价格低廉易为更多的患者所接受。更多还原

【Abstract】 Objective To evaluate the efficacy and safety of polypropylene suburetheal tape via obturator route to treat female stress urinary incontinence. Methods 230 women diagnosed of stress urinary incontinence(SUI) were treated with middle urethra sling via obturator route with self-made polypropylene tape,from March 2005 to December2013. All patients’ surgical procedure and follow- up information were analyzed. Results All the operations were done in the status of intravenous anethesia or caudal block. The mean operating time was 20 minutes,the mean blood loss were 30 ml. 230 patients can urinate automatically after pulling out urine duct at 24 hours post- operation,30 patients complicated with residual urine more than 100 ml,and no urinary incontinence symptoms were recurred in 6-12 months of following up. These 30 patients were asked to keep catheterization for another 48 hours,and found to be recovered themselves. Conclusion Owing to easy sling adjusting,short recover duration,self- made polypropylene tape middleurethra slingplasty via obturator route is a safe and high efficiency procedure for treating female stress urinary incontinence.更多还原