[1]胡卫列,邓志雄,张利朝,等.女性压力性尿失禁经耻骨上膀胱尿道悬吊术后并发症的防治[J].中国微创外科杂志,2007,07(3):243-244.
　Hu Weilie,Deng Zhixiong,Zhang Lichao,et al.Prevention and treatment of complications following suprapubic arch sling procedure for female stress urinary incontinence[J].Chinese Journal of Minimally Invasive Surgery,2007,07(3):243-244.
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女性压力性尿失禁经耻骨上膀胱尿道悬吊术后并发症的防治()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
07
期数:
2007年3期
页码:
243-244
栏目:
出版日期:
2007-03-20

文章信息/Info

Title:
Prevention and treatment of complications following suprapubic arch sling procedure for female stress urinary incontinence
作者:
胡卫列; 邓志雄; 张利朝; 曹启友; 沈文; 肖远松; 王元利; 吕军; 何恢绪
中国人民解放军下尿路疾病诊治中心广州军区广州总医院泌尿外科研究所，广州510010
Author(s):
Hu Weilie;  Deng Zhixiong;  Zhang Lichao;  et al.
Diagnosis and Treatment Center of Lower Urinary Tract Diseases of the PLA, Institute of Urology, Guangzhou General Hospital of Guangzhou Military Region, Guangzhou 510010, China
关键词:
压力性尿失禁; 经耻骨上膀胱尿道悬吊; 外科手术
Keywords:
Stress urinary incontinence; SPARC; Surgery
分类号:
R699.706;R694+.54
文献标志码:
A
摘要:
目的探讨经耻骨上膀胱尿道悬吊术（SPARC）治疗女性压力性尿失禁术后并发症的防治。方法2002年7月~2006年1月，采用SPARC治疗女性压力性尿失禁18例，年龄35~68岁，平均49岁。病程2~19年，平均8年。轻度6例，中度8例，重度4例。结果手术时间25~50 min，平均35 min。出血量15~40 ml，平均30 ml。住院3~14 d，平均5 d。术中膀胱穿孔1例，经留置导尿管2周后治愈。1例术后排尿困难及尿潴留，在门诊行尿道扩张8次后治愈。1例术后3年出现吊带穿破膀胱及膀胱结石形成，经腔镜下膀胱结石碎石后行开放手术将膀胱内吊带切除。余17例随访3~6个月，2例增加腹压时轻度尿失禁，其余15例均排尿通畅，无漏尿及其他并发症。结论SPARC术中术后注意细心操作和正确及时处理，可以有效降低术后并发症的发生率。
Abstract:
ObjectiveTo explore the prevention and treatment of complications following suprapubic arch (SPARC) sling procedure for female stress urinary incontinence.MethodsEighteen female patients with stress urinary incontinence underwent SPARC procedure from July 2002 to January 2006. The patients’ age was 35~68 years old (mean, 49 years old). The length of duration of disease was 2~19 years (mean, 8 years). The extent of urinary incontinence was classified as mild in 6 patients, moderate in 8 patients, and severe in 4 patients.ResultsThe operation time was 25~50 min (mean, 35 min), the blood loss was 15~40 ml (mean, 30 ml), and the hospital stay was 3~14 d (mean, 5 d). Intraoperative bladder perforation occurred in 1 patient and was cured by indwelling catheter for 2 weeks. Urination difficulty and urine retention happened in 1 patient and was treated by urethral dilation for 8 times. During followup, bladder tape perforation associated with bladder stone was found in 1 patient at 3 years after operation and a surgical removal of partial tape and a cystoscopic lithotripsy were conducted. The remaining 17 patients were followed for 3~6 months. Fifteen patients presented no voiding difficulty, incontinence, or infection, except 2 patients had a mild incontinence.ConclusionsCareful surgical manipulation and proper and timely management are the key to the prevention and treatment of complications of SPARC.

参考文献/References:

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更新日期/Last Update: 2013-11-15