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目的:探讨自体筋膜尿道悬吊术在女性压力性尿失禁治疗中的效果。方法:采用经耻骨上入路自体筋膜尿道中段悬吊术治疗女性压力性尿失禁,回顾性分析2000年2月～2007年12月采用该手术方式治疗28例女性压力性尿失禁患者的临床资料和治疗效果。结果:所有患者无耻骨后血肿形成,无尿道损伤;膀胱损伤1例,延长导尿管留置时间后治愈;28例患者术后拔除尿管均能自行排尿并满意控尿,6例患者出现不同程度不稳定膀胱症状,经对症处理缓解。随访9～21个月,平均15个月,无压力性尿失禁症状复发及排尿困难。结论:自体筋膜尿道悬吊术治疗女性压力性尿失禁简单易行,操作安全,损伤性较小,费用低廉。
Objective: To explore the effect of autologous fascia urethral suspension in the treatment of female stress urinary incontinence. Methods: Female patients with stress urinary incontinence were treated with suprapubic self-fascia and urethral mid-section suspension. The clinical data of 28 patients with stress urinary incontinence treated from February 2000 to December 2007 were analyzed retrospectively Information and treatment effect. Results: All patients had no puborectal hematoma formation and no urethral injury. One case of bladder injury was cured after prolonged urinary catheter indwelling time. Out of the 28 cases, all patients had spontaneous voiding and satisfactory urinary control after catheter ablation. Degree of instability bladder symptoms, symptomatic treatment to ease. All patients were followed up for 9-21 months with an average of 15 months. No recurrence of stress urinary incontinence and dysuria occurred. Conclusion: Autologous fascia urethral suspension for the treatment of female stress urinary incontinence is simple, safe, less damage and low cost.