查詢結果分析
來源資料
相關文獻
- Comparison of the Laparoscopic and Laparotomic Retropubic Colposuspension in the Treatment of Genuine Urine Stress Incontinence: A Retrospective Study
- Long-Term Outcome of Raz Bladder Neck Suspension in Patients with Stress Urinary Incontinence
- A Modified Non-incision Non-buffer Endoscopic Bladder Neck Suspension for Female Stress Urinary Incontinence--Surgical Technique and Its Mid-term Result
- 婦女應力性尿失禁--無切割性膀胱頸懸吊術
- 女性應力尿失禁的針刺膀胱頸懸吊術治療
- Efficacy of Pelvic Floor Rehabilitation for Treatment of Genuine Stress Incontinence
- "老年人尿失禁是膀胱弱?"的另類思考--正常腦壓性水腦
- 尿道注射膠原蛋白及其它充填劑治療應力性尿失禁
- Normal Pressure Hydrocephalus in a Patient with Systemic Lupus Erythematosus: A Case Report
- 恥骨陰道吊帶手術之作用
頁籤選單縮合
| 題 名 | A Modified Non-incision Non-buffer Endoscopic Bladder Neck Suspension for Female Stress Urinary Incontinence--Surgical Technique and Its Mid-term Result=使用無切割性膀胱頸懸吊術治療婦女應力性尿失禁之中程結果報告 |
|---|---|
| 作 者 | 郭漢崇; 許悌; 張世忠; | 書刊名 | 慈濟醫學 |
| 卷 期 | 5:4 1993.12[民82.12] |
| 頁 次 | 頁251-257 |
| 分類號 | 416.274 |
| 關鍵詞 | 尿失禁; 膀胱頸懸吊術; Stress urinary incontinence; Endoscopic bladder neck suspension; Trans-rectal endosonography; |
| 語 文 | 英文(English) |
| 中文摘要 | 對於婦女應力性尿失禁,我們自1988年8月至1992年1月間一共對50名病 人進行改良的「無切割性膀恍頸懸吊術」。手術重點包括(1)使用內視鏡在手術前 確切地辨認膀恍頸的位置;(2)陰道表皮不進行任何切割或剝離;(3)膀恍頸懸吊時 沿著膀恍底部之兩側邊緣;(4)懸吊的尼龍線埋於表皮下,沒有放置緩衝物件。手 術後依例放置恥骨上膀恍造屢引流尿液並便利排尿訓練,三天後開始訓練,如病 人排尿情形良好即拔除尿管。 我們對這50名婦女在手術後6至42個月(平均23月)進行追蹤調查,依據病人的主訴 有18位(36%)完全無尿失禁;21位(42%)偶爾有尿失禁但症狀有明顯的改善;其他11 位(22%)則在手術後復發輕重不等的尿失禁,認為手術失敗。大部份的失敗病例 發生於術後一年內,而且失敗的病例在術後追蹤其經直腸膀胱超音波均發現病人 再度失去原有的膀胱頸懸吊的效果。 由病人的資料再加以分析,我們發現手術成功與失敗兩組病人中,年齡、體重、 尿失禁解剖學上之分類、排尿圖形、最大尿道閉鎖壓力均無統計上之差異。可是 在症狀較嚴重的病人手術成功率較差;手術後復原(即能有良好排尿的狀況)時間 較長者其最後失敗率較高。經由本研究的結果顯示,膀胱頸懸吊術仍然需要一強 有力的組織咬合或放置一緩衝物件以防止線埋入筋膜之中導致懸吊效果失敗。由 於中程結果的不理想,我們已經將膀胱頸懸吊術改用Raz手術方法以求得更好的 結果。(慈濟醫學 1993;5:251-257) |
| 英文摘要 | Fifty women underwent a modified endoscopic bladder neck suspension were evaluated 6 to42 months (mean 23 months) postoperatively. The surgical procedure included: (1) identificationof the bladder neck precisely by endoscopy, (2) no vaginal incision and dissection, (3) the bladder neck was suspended along the border of the bladder base, (4) the suspending suture wasthreaded subrnucosally without a buffer. However, the successful rate was not satisfactory (curedin 36 and good in 42) as compared to other reports. Most of the failed cases occurred withinthe first 12 months postoperatively. Postoperative endosonography demonstrated loss of suspension function in the failed cases. The results in this study demonstrate that the bladder neck suspension without a buffer will not achieve a high cure rate. A helical suture or suspension buffershould be added to prevent cutting through the endopelvic fascia by the suture. (Tzu-Chi Med J1993; 5:251-257) |
本系統中英文摘要資訊取自各篇刊載內容。