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本院自1986年以来,在膀胱镜窥视下作膀胱颈悬吊术治疗4例女性压力性尿失禁,效果满意,现介绍如下。术前准备。确定患者无残余尿,无输尿管返流,术前1天作肠道准备,阴道冲洗,用抗生素预防感染。手术步骤:1.硬脊膜外麻醉,取截石位,手术野常规消毒铺巾。2.先置入Foley 氏导尿管,气囊充水30ml,轻轻牵引,测定尿道长度,并以气囊指引,距尿道外口2.5～3.0cm 处,阴道前壁作一横切口长2.5cm,并稍作分离。3.在耻骨联合上,中线两侧,各作一个1.5cm 小切口,两切口相距5cm,向下钝性分离至腹直肌前鞘。
Our hospital since 1986, under the cystoscope peep bladder neck suspension for the treatment of 4 female stress urinary incontinence, the effect is satisfactory, are described below. Preoperative preparation. No residual urine to determine the patient, no ureteral reflux, 1 day preoperative bowel preparation, vaginal washing, antibiotics to prevent infection. Surgical procedures: 1. Epidural anesthesia, take lithotomy position, surgical field routine disinfection shop towel. 2. First placed Foley’s catheter, balloon filled with water 30ml, gently traction, measuring the length of the urethra, and balloon guidance, from the urethral orifice 2.5 ~ 3.0cm at the anterior vaginal wall for a transverse incision length 2.5cm, And slightly separated. 3. On the pubic symphysis, both sides of the midline, each made a small incision 1.5cm, the incision 5cm apart, down blunt dissection to the anterior rectus sheath.