应用定量化Stamy悬吊结合改良阴道缩窄术治疗女性压力性尿失禁体会

Effect of quantified stamy technique combined with improved colporrhaphy on the treatment of stress urinary incontinence

目的:探讨女性压力性尿失禁(SUI)合并盆底器官脱垂(POP)的改良联合手术方法。方法:自2008年3月～2011年10月,选择13例SUI合并POP病例,采用定量化Stamy膀胱颈悬吊结合黏膜下阴道缩窄术式进行治疗。结果:13例膀胱颈悬吊平均力度385.8±79.1g,阴道缩窄平均幅度2.8±3.1cm,平均留置导尿时间7.2±17.7d;术后12个月随访10例(随访率76.9%),均对手术效果满意,术后性生活明显改善者5例(71.4%)。结论:定量化stamy膀胱颈悬吊结合黏膜下阴道缩窄术式,对SUI合并POP病例具有个性化治疗价值。

Objectives： To explore the effect of improved surgery on female stress urinary incontinence （SUI） with pelvic organ prolapse （POP）. Methods： Thirteen patients with female stress urinary incontinence （SUI） complicated with pelvic organ prolapse （POP） were given quantified stamy technique combined with improved submucosal colporrhaphy. Results： Among the 13 eases, dynamics of stamy suspension was 385.8 ± 79.1 g on the average. The average extent of narrowed vagine was 2.8± 3. 1 cm, and the average catheterization time was 7.2 ±17.7days ; Ten cases were followed up for 12 months and showed satisfactory surgical results. Five cases showed a markedly improved sexual life quality. Conclusion： The quantitative stamy technique combined with improved submucosal colporrhaphy can be applied as a personalized therapeutic option in the treatment of female stress urinary incontinence （SUI） with pelvic organ prolapse （POP）.