经阴道穿刺自体筋膜尿道悬吊治疗压力性尿失禁(附13例报告)

Autogenous fascia suspension via vagina for the treatment of female stress incontinence(Report of 13 cases)

目的:探讨一种治疗女性压力性尿失禁的新手术方法.方法:采用经阴道穿刺自体筋膜尿道悬吊术治疗女性压力性尿失禁患者13例,用自制管状穿刺针经阴道前壁切口将自体筋膜(腹直肌前鞘,阔筋膜)条,绕过尿道中段,调整好悬吊张力后,将两端分别固定于腹直肌鞘上,比较手术前后尿垫试验和咳嗽试验结果.结果:术后随访6～18个月,平均12个月,治愈率84.62%,显效15.38%,所有患者尿失禁症状均得到控制.结论:经阴道自体筋膜尿道悬吊术简单易行,操作安全,损伤性较小,并发症少,费用低廉.

Objective：To study the efficacy of autogenous fascia suspension via vagina for the treatment of female stress incontinence. Methods： Thirteen female patients with stress incontinence were treated by the method of autogenous fascia suspension via vagina. The anterior wall of vagina was opened with the self-made tubiform puncture pin, then the intermediate segment of urethra was enclosed with the autogenous fascia（anterior sheath of rectus abdominis muscle, fascia late）, and then the two end of the fascia in the sheath of rectus abdominis muscle were fixed after the tension of the fascia being regulated suitably. The results of pad test and cough test pre and post operation were compared. Results： All patients were followed-up for 6 to 18 months （with a mean of 12 months） post operation, and their symptoms of continence were relieved. Of them 84.62% were cured and 15.38% were improved. Conclusions： Autogenous fascia suspension via vagina was an easy manipulation, safety, little injury and low cost method for treatment of female incontinence.