膀胱颈一针一线悬吊术治疗女性压力性尿失禁184例

Investigate of Treatment of Female Stress Urinary Incontinence with Ventrofixation of One Needle and One Line at Bladder Neck

目的探讨女性压力性尿失禁的有效治疗方法。方法自2001—2006年对184例压力性尿失禁患者采用膀胱颈一针一线悬吊术治疗,评价治疗前后、随访3年时的临床症状、最大尿道压及关闭压、功能尿道长度、漏尿点压等指标。结果治疗后患者临床症状均明显改善,最大尿道压及关闭压、功能尿道长度、漏尿点压等明显高于治疗前(P<0.01),随访3年时上述各项指标较治疗前仍有显著差异(P<0.01)。结论膀胱颈一针一线悬吊术治疗女性压力性尿失禁简便有效,不易复发,值得推广。

Objective To investigate an effective approach for the treatment of female stress urinary incontinence. Methods 184 female patients with stress urinary incontinence were treated with ventrofixation of one needle and one line at bladder neck from 2001 to 2006. The clinical symptoms, maximum urinary pressure （MUP）, maximum closure urinary pressure （MCUP）, functional urinary lenth （FUL）, and valsava leak point pressure （VLPP） were determined and compared pre - and post - treatment and for 3 - year follow - up. Results After the treatment and 3- year follow- up, the patients＇ clinical symptoms improved obviously, and the above indexes such as MUP, MCUP, FUL, VLPP increased obviously （P 〈 0. 01 ）. Conclusion Ventrofixation of one needle and one line at bladder neck is good for female stress urinary incontinence and is worth extending.