Midurethral sling incision: indications and outcomes.
Midurethral sling incision: indications and outcomes.
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DOI：
10.1007/s00192-012-1895-8
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发表时间：
2013-04
影响因子：
1.8
通讯作者：
Eberhard, Jakob
中科院分区：
文献类型：
--
作者：
Viereck, Volker;Rautenberg, Oliver;Kociszewski, Jacek;Grothey, Susanne;Welter, JoEllen;Eberhard, Jakob
关键词：
关于吊带切口的有效性仍有争议，这是治疗喉下吊带置入后并发症最常见的手术方法。本回顾性分析评估了吊带切口的适应症和患者并发症和压力性尿失禁的解决结果。对2003年至2010年间接受悬吊切口的妇女的医疗记录进行了回顾。从198份病历中提取手术指征、超声检查结果和医疗结果等数据，采用描述性和推断性统计方法进行分析。在198例纳入研究的患者中，吊带切口的主要原因是膀胱过度活动（68%）、排尿功能障碍（61%）和复发性尿路感染（53%）。其他并发症包括性交困难（18%）、慢性盆腔疼痛（17%）和吊带暴露（15%）。97%的患者术后排尿功能障碍即刻治愈。膀胱过动症和性交困难的治愈率分别为60%和94%。慢性盆腔疼痛在82%的病例中得到缓解，所有暴露于吊带的病例均治愈。140例悬吊切口前保持正常的患者中，85例（61%）术后出现复发性应激性尿失禁（SUI）。这些结果表明，吊带切口在改善排尿功能障碍和性交困难方面具有很高的成功率，在治疗膀胱过度活动和慢性疼痛方面具有中等的成功率。然而，超过60%的接受吊带切口的患者会出现SUI复发。因此，考虑采用吊带切口手术的患者应被告知这种可能的并发症。
Controversy continues over the effectiveness of sling incision, which is the most common operative approach to treating complications following suburethral sling insertion. This retrospective analysis assessed the indications for sling incision and patient outcomes regarding resolution of complications and stress urinary incontinence. A review was conducted of the medical records of women who underwent sling incision between 2003 and 2010. Data such as surgical indications, ultrasound findings and medical outcomes were extracted from 198 records, and descriptive and inferential statistical methods of analysis were used. In the 198 patients eligible for study inclusion, the primary reasons for sling incision were overactive bladder (68 %), voiding dysfunction (61 %), and recurrent urinary tract infections (53 %). Additional complications included dyspareunia (18 %), chronic pelvic pain (17 %), and sling exposure (15 %). Sling incision led to immediate postoperative cure of voiding dysfunction in 97 % of patients. Cure rates for overactive bladder and dyspareunia were 60 % and 94 % respectively. Chronic pelvic pain was resolved in 82 % of cases and all cases of sling exposure were cured. Eighty-five (61 %) of the 140 patients who were continent before sling incision developed recurrent stress urinary incontinence (SUI) postoperatively. These findings indicate that sling incision can be highly successful in improving voiding dysfunction and dyspareunia, and moderately successful in curing overactive bladder and chronic pain. However, SUI may recur in more than 60 % of the patients undergoing sling incision. Consequently, patients being considered for a sling incision procedure should be informed about this possible complication.
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DOI：
10.1111/j.0001-6349.2004.00198.x
发表时间：
2004-10-01
影响因子：
4.3
作者：
Dietz, HP;Mouritsen, L;Wilson, PD
通讯作者：
Wilson, PD
影响因子：
2.1
作者：
Klutke, C;Siegel, S;Klutke, J
通讯作者：
Klutke, J
影响因子：
2.7
作者：
EBERHARD, J
通讯作者：
EBERHARD, J
影响因子：
1.8
作者：
Palva, K.;Nilsson, C. G.
通讯作者：
Nilsson, C. G.
影响因子：
1.8
作者：
Kasturi, Seshadri;Hale, Douglass S.
通讯作者：
Hale, Douglass S.