《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (09): 870-872.

• 临床研究 • 上一篇    下一篇

经阴道尿道中段无张力吊带术治疗压力性尿失禁30例

王飚; 杨勇; 武志津   

  1. 首都医科大学附属北京朝阳医院泌尿外科,北京市 10002
  • 收稿日期:2008-06-12 出版日期:2008-09-01 发布日期:2008-09-01

Application of Suprapubic Arc Sling for Stress Urinary Incontinence in Female:30 Cases Report

WANG Biao, YANG Yong, WU Zhi-jin   

  1. Department of Urology, Capital Medical University Chaoyang Hospital, Beijing 100020, China
  • Received:2008-06-12 Published:2008-09-01 Online:2008-09-01

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被引次数

6

摘要： 目的探讨经阴道尿道中段无张力吊带术(SPARC)治疗女性压力性尿失禁(SUI)的手术方法、并发症的发生及预防、有效性及其安全性。方法女性SUI患者30例采用SPARC手术治疗。于术前及术后2个月进行国际尿控协会生活质量简表(ICI-Q-SF)评分。结果1例术中发生膀胱穿刺伤,术后3 d去除尿管后控尿正常;1例发生术后排尿困难,两周后剪断吊带,控尿正常,SUI未复发。术后随访12～20个月,平均15.6个月,无SUI复发。完全改善率93.3%(28/30),症状明显好转6.7%(2/30)。术后生活质量评分明显改善(P<0.01)。结论SPARC治疗SUI简单易行,操作安全,并发症发生率低,术后效果满意。

关键词: 压力性尿失禁, 经阴道尿道中段无张力吊带术(SPARC), 生活质量

Abstract: Objective To evaluate the surgical approaches,complications,safety and efficacy of the suprapubic arc sling(SPARC) applied for stress urinary incontinence(SUI).Methods 30 female patients with SUI accepted SPARC through the anterior vaginal wall.Results All the cases clinically improved.1 patient experienced bladder injury,and get well 5 d after the operation;1 patient experienced post-procedure voiding dysfunction,but got well after the tape was cut 2 weeks later.All of the cases were followed up for 12～20 months with good results.Complete dryness was seen in 93.3%(28/30),6.7%(2/30) showed significant improvement.No leakage occurred.Conclusion SPARC is a simple,reliable procedure for anti-incontinence with good results.

Key words: stress urinary incontinence(SUI), suprapubic arc sling(SPARC), quality of life