应用Y形补片治疗阴道前壁膀胱膨出及压力性尿失禁的临床研究

Use of Y-shaped mesh in the treatment of anterior vaginal wall cystocele and strees urinary incontinence

目的评价经阴道Y形补片治疗阴道前壁膀胱膨出及压力性尿失禁的近期疗效。方法2003年4月．2006年5月，对确诊为阴道前壁及膀胱膨出合并不同程度压力性尿失禁的34例行经阴道尿道中段、膀胱膨出部位Y形补片悬吊修复术，并对手术后主观症状的改善、术后复发率进行评估。结果34例术后24h拔除导尿管后能自行排尿，残余尿〈100ml。随访3-37个月，平均26个月，无尿潴留、尿路感染、膀胱功能障碍及复发。结论应用Y形补片不仅治疗阴道前壁及膀胱膨出，而且能同时治疗压力性尿失禁。

Objective To evaluate the short-term efficacy of the use of Y-shaped mesh in the treatment of anterior vaginal wail cystocele and stress urinary incontinence. Methods A total of 34 women diagnosed as having anterior vaginal wall cystocele complicated with stress urinary incontinence underwent intravaginal slingplasty using a Y-shaped mesh from April 2003 to May 2006. Evaluations on symptom improvement and postoperative recurrence rate were made. Results All the patients could spontaneously void urine after catheter removal at 24 hours after operation, with the residual urine less than 100 ml. Follow-up checkups for 3 - 37 months （mean, 26 months） found no urinary retention, urinary tract infection, bladder dysfunction, or recurrence. Conclusions Use of Y-shaped mesh in the treatment of both anterior vaginal wall cystocele and strees urinary incontinence is feasible.