新式阴道前壁补片修补术在女性压力性尿失禁中治疗效果评估 |
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引用本文: | 陈晓明,尹格平,李娟,朱彤宇.新式阴道前壁补片修补术在女性压力性尿失禁中治疗效果评估[J].现代妇产科进展,2014(5):357-359. |
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作者姓名: | 陈晓明 尹格平 李娟 朱彤宇 |
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作者单位: | [1]辽宁医学院济南军区总医院研究生培养基地妇科,济南250031 [2]济南军区总医院妇科,济南250031 |
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摘 要: | 目的:探讨新式阴道前壁补片修补术术式的创新性及优、缺点,以及其对女性压力性尿失禁(SUI)的近期手术疗效。方法:对2009年1月至2012年2月我院收治的106例女性SUI患者行新式阴道前壁补片修补术。采用主观评价尿失禁问卷简表(ICIQ-SF)、客观评价尿垫试验等方法评价该术式的近期手术疗效。与经典文献Burch手术及TVT等术后1年治愈率比较,探讨此手术的创新性及优、缺点。观察患者的围手术期及术后并发症情况。结果:新式阴道前壁补片修补术术后1年,患者的治愈率为90.57%,ICIQ-SF评分明显降低(P0.001)。与Burch手术、TVT等术后1年的治愈率比较,无显著差异(P0.05)。患者围手术期的尿路感染、排尿不尽等并发症的发生率为9.43%,尚未发现严重术后并发症。结论:本新式阴道前壁补片修补术符合手术目的预期,具有微创化、经济、近期治愈率高和术后并发症率低等优势,但中远期治疗效果需继续随访。
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关 键 词: | 压力性尿失禁 新式阴道前壁补片修补术 疗效 |
Evaluation of the curative effect of a new-type operation with vaginal mesh-repair for female stress urinary incontinence. |
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Institution: | Chen Xiaoming , Yin Geping, Li Juan, et al. (1. Postgraduate Training base of Liaoning Medical College, Jinan 250031 ;2. Department of Gynecology, Jinan Military General Hospital, Jinan 250031) |
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Abstract: | Objective: To investigate the clinical short-term effects, innovation, advantages and disadvantages of a new vaginal mesh-repair surgery against stress urinary incontinence (SUI). Methods:From Jan. 2009 to Feb. 2012,106 cases of female SUI treated with the new surgery. Short term outcomes after surgery were analyzed by objective method (ICIQ-SF), subjective method(peal-test) and complications. Compare and analyze 1 year cure rate of the new operation with the Butch retropubic urethropexy and tension-free vaginal tape procedure (TVT) from classics literature. The innovation, advantages and disadvantages were investigated. Resuits: According to ped-test evaluation, the successful rate of the new operation reached 90.57%. The analysis found no difference in cure rates at 1 year among this operation, the Butch and TVT. The complications rate such as urinary infection was 9.43 %. There was no serious complications. And ICIQ-SF scores significantly reduced compared with the preoperative (P〈0. 001 ). Conclusions :The short term effect of the new vaginal mesh-repair surgery are effective, economic and reliable to cure the female with SUI. |
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Keywords: | Stress urinary incontinence Mesh New type operation Curative effect |
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