从病因治疗到重塑尿控——女性压力性尿失禁的手术治疗观念变更及当前的金标准术式(“大家泌尿网”观看手术视频)  

Evolution of surgical treatment for female SUI and the current gold standard:conceptual shift from treatment of etiology to reshape of urinary control mechanism

作　　者：罗德毅[1,2] 沈宏 张洁[1,2] LUO Deyi;SHEN Hong;ZHANG Jie(Department of Urology,West China Hospital,Sichuan University,Chengdu 610041;Pelvic Floor Diseases Center,West China Tianfu Hospital,Sichuan University,Chengdu 610200,China)

机构地区：[1]四川大学华西医院泌尿外科,四川成都610041 [2]四川大学华西天府医院盆底疾病中心,四川成都610200

出　　处：《现代泌尿外科杂志》2025年第1期8-12,共5页Journal of Modern Urology

摘　　要：女性压力性尿失禁(SUI)发病率高,严重影响患者生活质量,给患者、家庭和社会带来了沉重的经济负担。随着SUI的手术方式及发病机制研究的不断更新,近来关于尿失禁的手术治疗机制,人们的观念已从病因治疗机制转变为重塑尿控机制。因此,自术式微创、效果明确的无张力尿道中段悬吊术(MUS)问世以来,很快被国内外学界公认为是SUI手术治疗的金标准并广泛推广应用。MUS也是四川大学华西医院泌尿外科最常用于SUI患者治疗的手术方式。因此,笔者结合本中心的手术经验,就MUS手术的主要步骤、技术要点以及手术并发症处理与预防策略进行分析,以期为临床提供参考。With the growing aging population,female stress urinary incontinence(SUI),due to its high incidence,has become a common disease that seriously affects patients quality of life and brings heavy economic burden to families and society.Over the past century,the surgical treatments of SUI were continuously updated along with the in-depth research on the disease mechanism.However,in recent years,the concept of anti-incontinence surgery has shifted from treating the causes to reshaping the urinary control mechanism.As a result,the mid-urethral sling(MUS)procedure has gained global acceptance since its introduction,swiftly acknowledged both domestically and internationally as the gold standard due to its minimally invasive nature and proven effectiveness.MUS is also the most commonly used surgical method for SUI patients treated in our center.Based on our own surgical experience,we will analyze the main steps,technical points,and preventive strategies of surgical complications of MUS,so as to provide clinical reference.

关 键 词：女性压力性尿失禁 手术治疗 手术演变 无张力尿道中段悬吊术 

分 类 号：R695.1[医药卫生—泌尿科学]