压力性尿失禁手术治疗现状

Current situation in surgical treatment of stress urinary incontinence

女性压力性尿失禁是一种常见疾病，其发生率随妇女年龄的增长而增加，影响着妇女的生活质量和身心健康。压力性尿失禁定义为腹压的突然增加导致尿液不自主漏出。压力性尿失禁是由于腹内压升高并下传到膀胱使膀胱内压的升高超过膀胱颈和尿道括约肌产生的压力而导致漏尿。压力性尿失禁以手术治疗为主，手术治疗方案很多。该文主要综述目前可行的几种手术方式和临床观察的数据，新的手术方式及对材料的近期观察结果显示出了良好的治愈率和较高的患者满意率及较低的并发症发病率，但目前尚缺乏关于新术式和新材料长期有效的观察数据。

Female stress urinary incontinence （SUI） is a common disease and its morbidity rate increases with increase in women＇ s age. It affects physical and mental health and quality of life of the woman. SUI is defined as leakage of urine with a sudden increase in intraabdominal pressure, without a concomitant rise in detrusor （bladder-generated） pressure. The mechanism of SUI is that an increase in intra-abdominal pressure resulting from various activities causes bladder pressure to rise above urethral pressure. MMK and Burch approaches remain the golden standard treatment for female SUI. This review summarized currently available sling surgical approaches and data of clinical outcomes. Short-term observation results of novel surgical approaches and materials shown a higher curative rate and high patients＇ satisfaction with less incidence rate of complications. But at present, long-term available data of novel surgical approaches and materials are lacked.