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目的:探讨一种新的手术方法—经耻骨上膀胱尿道悬吊术(SPARC)治疗女性压力性尿失禁的初步疗效及安全性。方法:2002年7月~2004年3月采用SPARC治疗临床诊断为女性压力性尿失禁的患者8例。结果:手术时间25~40 min,平均32 min。出血15~40 ml,平均30 ml。住院3~7天,平均5天。8例患者术后尿控满意,随访3个月,1例有轻度尿失禁,余无排尿困难、尿失禁及尿路感染。结论:SPARC治疗女性压力性尿失禁具有简单、安全、创伤小、疗效好的优点,值得在临床上推广使用。
Objective: To investigate a new surgical method - the primary efficacy and safety of suprapubic cystoral urethral suspension (SPARC) in the treatment of female stress urinary incontinence. Methods: From July 2002 to March 2004, 8 patients with clinically diagnosed female stress urinary incontinence were treated with SPARC. Results: The operation time was 25-40 minutes with an average of 32 minutes. Bleeding 15 ~ 40 ml, an average of 30 ml. Hospital 3 to 7 days, an average of 5 days. Eight patients were satisfied with postoperative urinary control, followed up for 3 months. One case had mild incontinence, the other had no dysuria, urinary incontinence and urinary tract infection. Conclusion: SPARC has the advantages of simple, safe, small trauma and good curative effect in female stress urinary incontinence. It is worth to be popularized in clinic.