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聚丙烯酰胺水凝胶注射治疗女性压力性尿失禁疗效分析
引用本文:赵跃宏,Kurt Lobodasch.聚丙烯酰胺水凝胶注射治疗女性压力性尿失禁疗效分析[J].中国实用妇科与产科杂志,2012(5):372-374.
作者姓名:赵跃宏  Kurt Lobodasch
作者单位:暨南大学第二临床医学院;深圳市人民医院妇产科;德国开姆尼茨红十字中心医院妇产科
摘    要:目的探讨聚丙烯酰胺水凝胶治疗压力性尿失禁(SUI)的疗效。方法回顾性分析2005年10月至2010年8月德国开姆尼茨红十字中心医院应用聚丙烯酰胺水凝胶经尿道注射治疗压力性尿失禁患者450例,追踪381例术后的主观效果和客观效果。结果术后患者的主观评价结果显示SUI的治愈率和好转率之和为76.4%,客观评价结果显示SUI的治愈率和好转率之和为83.2%,无严重并发症发生。结论经尿道注射聚丙烯酰胺水凝胶治疗压力性尿失禁具有安全、简便、疗效确切、并发症少、患者可接受性高等优点,有望成为女性SUI的重要治疗方法,但仍需长期随访。

关 键 词:压力性尿失禁  注射  填充材料

The clinic study of a new injection therapy with polyacrylamide hydrogel for female stress urinary incontinence
Institution:ZHAO Yue-hong *,Kurt Lobodasch.* Department of Obstetrics and Gynecology,Shenzhen People’s Hospital,the Second Clinic Medical College of Jinan Uiversity,Shenzhen 518020,China
Abstract:Objective To evaluate the results of bulking agent therapy with polyacrylamide hydrogel.Methods Retrospectively analyze the data of 450 patients with SUI in DRK-Krankenhaus Chemnitz-Rabenstein in Germany.All of them had intra-urethral injections therapy with polyacrylamide hydrogel and 381 patients were followed up.Results Subjective operative outcome showed the rate of cured and improved is 76.4%.Objective operative outcome showed the rate of cured and improved patients is 83.2% and no serious complications.Conclusion Polyacrylamide hydrogel(Bulkamid) is an effective and safe method for the treatment of female stress incontinence.The procedure is simple,complication-free,has a high acceptance rate and can be used as an important intervention for SUI.Long-term follow-up is still necessary.
Keywords:stress urinary incontinence  injection  bulking agent
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