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什么最大的尿道闭塞压力值预测了尿道中部吊带手术的失败?

Tsia-Shu Lo¹, Fazlin Harun², Hateeza Binti Zakaria³

¹Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan, Republic of China; Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Medical Center, Taipei, Taiwan, Republic of China; Chang Gung University, School of Medicine, Taoyuan, Taiwan, Republic of China.

Taiwanese journal of obstetrics & gynecology

|September 12, 2024

概括

40cmH2O以下的最大尿道闭塞压力 (MUCP) 是压力尿失禁中部尿道吊带 (MUS) 手术失败的关键预测因素. 这一发现有助于识别患有手术失败风险较高的患者.

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
外科手术的结果

背景情况:

低最大尿道闭塞压力 (MUCP) 与抗失禁手术的不良结果有关.
之前的研究表明,MUCP的切断值在预测手术成功时有所不同.

研究的目的:

确定MUCP的特定切断值,该值可以预测尿路压力失禁 (USI) 中部尿道链 (MUS) 手术患者的不良结果.

主要方法:

对729名接受MUS手术的女性进行了回顾性审查.
患者被分为MUCP组:<20,20-40,40-60和>60cmH2O.
客观和主观评估包括尿动力学研究,空白日记和验证的问卷.

主要成果:

整体客观治愈率为88.2%,主观治愈率为85.9%.
在MUCP<40cmH2O的患者中观察到较低的治愈率.
显著相关的MUS衰竭与MUCP<40cmH2O,膀部角度<30°,功能性尿道长度 (FUL) <2cm.

结论:

MUCP<40 cmH2O,膀部角<30°,FUL<2 cm是MUS手术后不利结果的重要预测因素.
低MUCP截止值<40cmH2O被提议作为SUI患者MUS手术失败的预测指标.

关键词:

内在的结器缺陷本质的结器缺陷最大尿道闭塞压力 (MUCP)尿道中部的吊带.压力性尿失禁是压力性尿失禁.

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