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| 題 名 | Clinical Efficacy of Transabdominal Paravaginal Repair for Genuine Stress Incontinence with Cystocele=經腹部陰道旁側修補術在真性壓力性尿失禁合併膀胱膨出之療效 |
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| 作 者 | 陳慧毅; 林武周; 蔡鴻德; 蘇聰賢; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
| 卷 期 | 36:4 1997.12[民86.12] |
| 頁 次 | 頁133-140 |
| 分類號 | 416.274 |
| 關鍵詞 | 陰道旁側修補術; Burch式陰道懸吊術; 真性壓力性尿失禁; Paravaginal repair; Burch colposuspension; Genuine stress incontinence; |
| 語 文 | 英文(English) |
| 中文摘要 | 目的:本研究在探討經腹部陰道旁側修補術,於真性壓力性尿失禁合併膀胱膨出 之療效。 方法:本研究共有六十位真性壓力性尿失禁合併膀胱膨出患者接受手術治療:其中三十位 患者接受陰道懸吊術,另外三十位接受經腹部陰道旁側修補術。術後一年,接受尿動力學檢 查追蹤評估。 結果:接受陰道懸吊術的患者,其平均自動解尿日為4.9天,而接受經腹部陰道旁側修 補術的患者,其平均自動解尿日為2.5天(p<0.05)。接受陰道懸吊術的患者,其成功率為 86.7%,而接受陰道旁側修補術的患者,其成功率為63.3%(p<0.05)。接受陰道懸吊術的患者, 其成功組的尿動力學檢查,最大尿道閉鎖壓力及尿道壓力傳導率皆具統計學上有意義的改 變。會陰超音波及Q-tip試驗的結果顯示膀胱頸的下降得到統計學上有意義的校正。接受陰 道旁側修補術的患者,其尿動力學及會陰超音波檢查並無統計學上有意義的改變。 結論:本研究證實,臨床上經腹部陰道旁側修補術是用來治療真性壓力性尿失禁的輔助 手術,且能用來恢復膀胱膨出的側面缺損。 |
| 英文摘要 | Objective: To assess the clinical efficacy of transabdominal paravaginal repair for genuine stress incontinence with cystocele. Methods: Sixty patients with primary genuine stress incontinence and grade 1 cystoceles caused by a paravaginal defect were enrolled in this study. Thirty patients underwent the Burch colposus-pension procedure and 30 had paravaginal repair. A full urodynamic evaluation was repeated one year postoperatively. Results: The spontaneous voiding time was 4.9 ± 0.9 days after the Burch colposuspension and 2.5 ± 0.7 days after the paravaginal repair (P<0.05). The success rate was 86.7% after the Burch colposuspension and 63.3% after the paravaginal repair (P<0.05). In the success group of the Burch colposuspension, urodynamic data revealed significant increase in the maximal stress urethral closure pressure and proximal urethral pressure transmission ratios. Perineal ultrasound urethrocystography and the Q-tip test revealed a significant anatomic correction in the bladder neck descent. In the group of paravaginal repair no significant change between preoperative and postoperative urodynamic data were noted, even when the procedure was successful. Conclusion: Transabdominal paravaginal repair is an adjuvant operation for genuine stress incontinence, although it is accompanied by more immediate resumption of spontaneous voiding. It is a procedure designed to correct a cystocele due to a paravaginal defect. |
本系統中英文摘要資訊取自各篇刊載內容。