CAJ | 학술논문

目的评价InVance球部悬吊术治疗前列腺癌根治术后压力性尿失禁的临床效果.方法回顾性分析2005年3月至2011年3月采用InVance球部悬吊术治疗6例前列腺癌根治术后压力性尿失禁患者的临床资料.结果 6例手术时间80～120 min,出血量20～50ml.术后2d拔除气囊导尿管,切口均Ⅰ期愈合.随访12 ～ 29个月,4例治愈,1例改善,1例无效.2例出现暂时性尿潴留,1例出现短期内会阴疼痛.6个月后最大尿流率(15.9±7.7) ml/s,残余尿量0～20 ml/s.结论 InVance球部悬吊术简单、创伤小、手术并发症少,对前列腺癌根治术后压力性尿失禁有较好疗效.
목적 평개InVance구부현조술치료전렬선암근치술후압력성뇨실금적림상효과.방법 회고성분석2005년3월지2011년3월채용InVance구부현조술치료6례전렬선암근치술후압력성뇨실금환자적림상자료.결과 6례수술시간80～120 min,출혈량20～50ml.술후2d발제기낭도뇨관,절구균Ⅰ기유합.수방12 ～ 29개월,4례치유,1례개선,1례무효.2례출현잠시성뇨저류,1례출현단기내회음동통.6개월후최대뇨류솔(15.9±7.7) ml/s,잔여뇨량0～20 ml/s.결론 InVance구부현조술간단、창상소、수술병발증소,대전렬선암근치술후압력성뇨실금유교호료효.
Objective To evaluate the efficacy and safety of InVance bulbourethral sling for stress urinary incontinence after radical prostatectomy.Methods Six male patients with stress urinary incontinence after radical prostatectomy were treated with perineal sling (InVance) from March 2005 to March 2011,and the clinical data were analyzed.Results The operation time was 80-120 min and intra-operative blood loss was 20-50 ml.The catheter was removed at the second day after surgery.In a follow-up of 12 to 29 months,4 patients were dry,1 patient was improved,and 1 patient suffered treatment failure.There were 2 patients transient acute urinary retention and 1 patient short-term perineal pain in the main post-operative complication.In six months after the operation,urodynamic examination showed (15.9 ± 7.7) ml/s at Qmax and 0-20 ml/s at postvoid residual.Conclusion InVance bulbourethral sling for the treatment of stress urinary incontinence after radical prostatectomy appears to be safe,simple in the procedure and good effect to mild and middle incontinence.