相关实验视频
Updated: Jul 19, 2025

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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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术后的结果和尿动力学发现后,容网移除后
Stefania Palmieri1, Esther Kuria2, Gwendoline Gonzales2,3
1London Complex Mesh Centre, Directorate of Women's Health, University College London Hospitals NHS Foundation Trust, London, UK.
概括
经过中尿道网切除后,反复的压力尿失禁 (SUI) 是常见的,影响超过80%的患者. 尿动力学在大多数情况下证实了SUI,而空白功能障碍经常被报告,但很少被客观证实.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
- 重建性手术是一种重建性手术.
背景情况:
- 中部尿道网被广泛用于应激性尿失禁 (SUI).
- 删除网格后的结果是可变的,并且该程序具有潜在的风险.
- 有限的数据存在于尿动力学发现和患者报告的结果后网格移除.
研究的目的:
- 为了分析尿动力学发现和患者报告的结果后,尿道中部失禁网移除.
- 为了调查复发性SUI的频率,脱落,排泄功能障碍和过活的膀 (OAB) 症状在删除网格后.
主要方法:
- 在2014年1月至2020年1月期间,对204名女性进行了阴道清除禁网的回顾性分析.
- 收集和分析患者临床数据和视频尿动力学研究,在去除后4个月进行.
主要成果:
- 80.5%的患者报告了复发性SUI后网状移除.
- 视频尿动力学在67.6%的患者中证实了SUI.
- 8%的人报告了排尿功能障碍,但客观证实较少;在一些患者中注意到尿道狭窄和囊.
结论:
- 复发性SUI是清洁网移除后最常见的症状和客观发现.
- 过度活跃的膀 (OAB) 症状很少被报告,但尿动力学表明,在一些患者中,detrusor过度活跃 (DO).
- 排泄功能障碍经常被报告,但在尿动力学上更少被客观证明.
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