SPARC手术治疗女性压力性尿失禁  

Treatment of female stress urinary incontinence(SUI) with Supraubc arch sling procedure

作　　者：曾健文[1] 谢克基[1] 姜粹平[1] 黄杰详[1] 潘朝杰[1] 王良圣[1] 

机构地区：[1]广州市第一人民医院泌尿外科,510180

出　　处：《广州医药》2006年第4期22-24,共3页Guangzhou Medical Journal

摘　　要：目的 探讨经耻骨上膀胱尿道吊带术（supraubcarchsling，SPARC）治疗女性压力性尿失禁（SUI）的临床疗效。方法 回顾性分析15例女性压力性尿失禁患者行耻骨上膀胱尿道吊带术（SPARC）治疗效果、并发症情况。结果 手术时间（35．1±3．9）min，术中出血（62．3±10．5）ml，留置尿管1～2天，住院时间2—4天。拔尿管后全部患者排尿通畅、尿失禁消失，无剩余尿。随访3—33个月，患者白天、晚上均无使用尿垫，均感尿控满意，未见远期并发症。结论耻骨上膀胱尿道吊带术（SPARC）是治疗女性压力性尿失禁有效、安全、微创的方法，近期效果满意。Objective To discuss effect of the supraubc arch sling （SPARC） procedure in the treatment of female patients with stress urinary incontinece. Methods Data of 15 cases with female stress urinary incontinence who received supraubc arch sling （SPARC） procedure during march 2003 to november 2005 were reviewed retrospectively. Results The mean time of the operation was （35.1 ±3.9） min, and the mean blood loss during operation was （62. 3±10. 5） ml, the mean catheterization time was 1 -2d, the mean hospital stay was 2 -4d. All patients had no incontinence and residual urine. These patients were followed up for 3- 33 months, which could be continence without using urinal pads in daytime and evening. No long term complications were found. Conclusion SPARC procedure is an effective, safe and minimal invasion surgery in treating female stress urinary incontinence.

关 键 词：压力性尿失禁 女性 经耻骨上膀胱尿道吊带术 

分 类 号：R699[医药卫生—泌尿科学]