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应用前阴道壁缝补术治疗应力性尿失禁效果不佳,其治愈率仅48-60%,本文介绍105例用聚已烯纱网悬吊术的治疗技术及随诊结果。病人具有在咳嗽或用力时加重漏尿的症状,有尿道膀胱接连处异常下降的体征。由于缺乏直接的尿动力学检查,尿失禁的程度只能是临床的估计。105例中的57例接受过1-4次失败的手术。本研究开始阶段的23例无膀胱造影设备,后78例曾行膀胱尿道造影术,4例做了尿流压力的检查。现在,术前、术后尿动力学的检查可识别膀胱逼尿肌有严重不稳定性的病人,不予手术。聚乙烯纱网悬吊术是经腹及阴道部同时进行,取膀胱切石位,为准确插入及固定吊带,采用硝普钠低血压麻醉技术造成无血的术野。不完全排空膀
The application of anterior vaginal wall suture in the treatment of stress urinary incontinence ineffective, the cure rate is only 48-60%, this article describes the treatment of 105 cases with polyhexene gauze suspension technology and follow-up results. The patient has the symptoms of exaggerated leakage of urine when coughing or exerting force, signs of abnormal decline of the urinary bladder junction. Due to the lack of direct urodynamic tests, the extent of urinary incontinence can only be a clinical estimate. Fifty-seven of the 105 patients had one to four failed surgeries. Twenty-three of the patients without cystography at the beginning of the study had bladder urethroplasty and 4 had urinary flow stress. Now, preoperative and postoperative urodynamic examination can identify patients with severe instability in the detrusor of the bladder, without surgery. Polyethylene gauze suspension is carried out by the abdominal and vaginal Department at the same time, take the bladder stone position, for accurate insertion and fixation of the sling, sodium nitroprusside anesthesia technology to cause no blood surgery. Not completely emptying the bladder