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目的探讨膀胱尿道悬吊术(Burch术)治疗女性压力性尿失禁的临床效果。方法 2001年7月—2010年1月我院共收治女性压力性尿失禁患者56例,均采用膀胱尿道悬吊术,采用国际尿失禁咨询委员会尿失禁问卷简表(ICI-Q-SF)评分评估术前、术后3～(个月)、12～24个月患者症状和QOL的变化。结果 56例膀胱尿道悬吊术后治愈34例(60.7%),改善20例(35.7%),总有效率96.4%。术后3～(个月)、12～24个月患者症状和QOL较术前均明显改善(P<0.05)。而患者术后3～(个月)与术后12～24个月症状和QOL无进一步变化(P>0.05)。结论膀胱尿道悬吊术是治疗女性压力性尿失禁的有效方法,术后患者排尿症状和QOL明显改善,无须特殊材料和器械,费用低,适合基层医院推广。
Objective To investigate the clinical effect of bladder urethral suspension (Burch technique) in the treatment of female stress urinary incontinence. Methods From July 2001 to January 2010, 56 cases of female stress urinary incontinence were treated in our hospital. All of them were treated by bladder urethral suspension. The ICI-Q-SF score Preoperative, postoperative 3 ~ (months), 12 ~ 24 months patients with symptoms and QOL changes. Results 56 cases were cured after bladder and urethra suspension in 34 cases (60.7%), improved in 20 cases (35.7%), the total effective rate was 96.4%. The symptom and QOL of patients in 3 ~ (months) and 12 ~ 24 months after operation were significantly improved compared with those before operation (P <0.05). However, the symptoms and QOL did not change further (P> 0.05) after 3 ~ (months) and 12 ~ 24 months after operation. Conclusions Bladder urethral suspension is an effective method to treat female stress urinary incontinence. Postoperative urination symptoms and QOL are obviously improved. No special materials and instruments are needed, and the cost is low, which is suitable for the promotion of primary hospital.