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186例压力性尿失禁(SUI)女性病人,分为两组。第一组是第一次手术即为改良的Burch阴道悬吊术(MBC),有141例;第二组是应用MBC治疗的复发性SUI病人,有45例。手术方法:病人取截石位,下腹正中直切口入路。在膀胱颈水平尿道两边包括阴道前壁各缝合2针,间距约1～2cm。这四针每针都两次穿过阴道前壁并固定在Cooper韧带上。手术过程中将两手指伸入阴道,以决定缝合的适当深度并在固定时抬高和支持阴道前壁。缝合用可吸收线(Dexon或Maxon线)。
186 female stress urinary incontinence (SUI) patients were divided into two groups. The first group was modified Burch vaginal suspension (MBC) at the first surgery, with 141; the second group consisted of 45 patients with recurrent SUI treated with MBC. Surgical methods: the patient take lithotomy position, straight incision straight into the lower abdomen. In the bladder neck on both sides of the urethra, including the anterior vaginal anterior suturing 2 needles, spacing of about 1 ~ 2cm. The four needles pass each needle twice through the anterior vaginal wall and are secured to the Cooper ligament. During surgery, two fingers are inserted into the vagina to determine the appropriate depth of suture and lift and support the anterior vaginal wall when immobilized. Suture with absorbable line (Dexon or Maxon line).