CAJ | 학술논문

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.
목적 평개자제취병희망편급천자추경폐공뇨도중단현조술치료녀성압력성뇨실금적안전성화치료효과.방법 종2005년3월지2013년12월채용자제취병희망편급천자추대뇨실금문진검사학진위압력성뇨실금적230례,행경폐공뇨도중단현조술.대술중적정황급치료후적효과진행분석정기수방.결과 전부환자재정맥마취혹저마하완성수술,평균수술시간20 min,술중출혈30 ml,200례환자술후24 h거제도뇨관후능자행배뇨,30례출현잔여뇨>100 ml,경류치도뇨48 h후호전.술후수방6~12개월미견복발.결론 자제취병희망편급천자추경폐공뇨도중단현조술제방법간단역학、조작안전、조절현대송긴방편、술후회복시간단효과학절외,차개격저렴역위경다적환자소접수.
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 December 2013. 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 100ml,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 middle-urethra slingplasty via obturator route is a safe and high efficiency procedure for treating female stress urinary incontinence.