摘要
目的 介绍吊带方法经皮膀胱颈悬吊术治疗女性压力性尿失禁的经验。 方法 在近膀胱颈水平 ,阴道前壁与尿道之间隧道状切口内预置两端带有尼龙线的网状聚丙烯片 ,术中窥镜监视下 ,应用Vesica穿刺针经皮穿刺行膀胱颈悬吊治疗女性压力性尿失禁 19例。 结果 随访 3～ 45个月 ,平均 17个月 ,除 1例逼尿肌反射低下排尿稍费力外 ,18例患者无尿失禁及排尿困难。 结论 吊带方法经皮膀胱颈悬吊术治疗女性压力性尿失禁 ,操作简便 ,创伤小 ,恢复快 。
Objective To introduce and evaluate the procedure of sling percutaneous bladder neck suspension for female stress urinary incontinence (SUI). Methods A vaginal submucosal tunnel was created between the urethra and the anterior vaginal wall at the level of the bladder neck for later passage of the sling contructed from polypropylene mesh (2.8 cm×1.2 cm).Nineteen cases were treated using bladder neck suspension via percutaneous puncture with the Vesica needle.Cystoscopy was performed to prevent bladder or urethra injury. Results The mean follow up period was 17 months (ranged from 3 to 45 ) with no incontinence in all patients except for only one complaining of voiding difficulty. Conclusions The procedure provides tension free support of the urethra and bladder neck without elevation of the urethra and increased tension on the vaginal wall.The procedure is simple, safe and effective for SUI.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第3期199-201,共3页
Chinese Journal of Urology
