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目的总结用人工合成材料的吊带经不同的途径治疗女性压力性尿失禁的方法和结果。方法采用人工合成材料的吊带经耻骨固定(In-Fast)技术治疗3例,用经腹壁固定(TVT和IVS)技术治疗13例。结果绝大多数病人均排尿通畅,无尿失禁复发。但TVT组有1例排尿不畅,3个月后剪断吊带后变为轻度尿失禁。In-fast组有1例性交不适伴阴道分泌物增加。结论用人工合成材料的吊带进行悬吊技术治疗女性真性压力性尿失禁是安全、微创和有效的手术方式。经耻骨固定技术和用经腹壁固定技术这两种方法各有自己的优缺点。应根据病人的具体情况去选择使用。
Objective To summarize the methods and results of female stress urinary incontinence treated with synthetic sling by different ways. Methods Three cases were treated with In-Fast sling by artificial sling, and 13 cases were treated by trans-abdominal wall fixation (TVT and IVS). Results The vast majority of patients were voiding patency, no recurrence of urinary incontinence. However, one patient in the TVT group had poor urination and became mild urinary incontinence after cutting the sling three months later. In-fast group 1 case of sexual discomfort with vaginal discharge increased. Conclusion Suspension of synthetic sling for the treatment of female true stress urinary incontinence is a safe, minimally invasive and effective surgical procedure. The pubic fixation technique and the transabdominal fixation technique both have their own advantages and disadvantages. Should be based on the specific circumstances of patients to choose to use.