压力性尿失禁的女性患者的可调节性尿失禁治疗气球:系统性审查
Sonia Guérin1, Zine-Eddine Khene2, Benoit Peyronnet2
1Department of Gynecology Obstetrics, Rennes University Hospital, Rennes, France.
Urologia internationalis
|June 4, 2023
概括
可调节性尿失禁疗法 (ACT®) 气球为因内在缺陷 (ISD) 的女性压力尿失禁 (SUI) 提供了潜在的治疗方法,但结果显示成功率适度,并发症率显著.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
背景情况:
- 由于内在器缺陷 (ISD) 的压力尿失禁 (SUI) 影响了许多女性.
- 可调节性失禁疗法 (ACT®) 气球是SUI-ISD的治疗选择之一.
研究的目的:
- 系统地审查对女性SUI-ISD的ACT®气球的研究.
- 评估ACT®气球的有效性和安全性.
主要方法:
- 在PubMed和Scopus数据库的系统文献搜索 (2022年6月).
- 包括报告ACT®气球在患有SUI-ISD的女性患者的结果的研究.
- 遵守系统审查的PRISMA标准.
主要成果:
- 分析了13项研究 (案例系列).
- 成功率从13.6%到68%不等;改善率从16%到83%不等.
- 术后并发症发生率在3.5%至25%之间;术后并发症发生率在11%至56%之间.
结论:
- ACT®气球显示了适度的成功,但对SUI-ISD的并发症率很高.
- 需要进一步进行高质量的前性研究,并进行长期跟进.
- 在SUI-ISD治疗中ACT®气球的作用需要进一步阐明.
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