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是否同时进行的骨盆器官脱落手术会影响中尿道的结果? 一个第三级护理经验

Samia Aijaz¹, Urooj Kashif², Novera Chughtai²

¹Department of Urogynaecology, Aga Khan University Hospital, Karachi, Pakistan.

JPMA. The Journal of the Pakistan Medical Association

|August 25, 2025

概括

对于压力性尿失禁而进行的中尿道吊带手术,无论是否与骨盆器官缩手术相结合,都具有相似的成功率和风险率. 这两种手术单独或联合为患者提供了可比的结果.

科学领域:

尿道病学
妇科医生
骨盆地重建手术

背景情况:

压力性尿失禁 (SUI) 和骨盆器官脱落 (POP) 是女性常见的疾病.
中尿道吊带 (MUS) 手术是SUI的标准治疗方法.
经常考虑同时进行SUI和POP手术治疗.

研究的目的:

为了比较MUS手术对SUI的有效性和安全性,同时进行POP手术.
评估客观和主观的治愈率以及手术后的并发症.

主要方法:

在2010年至2020年期间,对345名接受MUS (无张力阴道带或转闭带) 的女性患者进行了回顾性图表审查.
患者被分为两组:单独使用MUS (A组) 和同时使用POP手术的MUS (B组).
术前数据,术后并发症和12个月后随访结果的比较,包括满意度得分 (阴道器的痛苦目录-6,失禁影响问卷-7).

主要成果:

在A组和B组12个月后的客观和主观治愈率没有显著差异 (p>0.05).
在6个月后,泌尿生殖器应激指标-6分数显著不同 (p<0. 05).
中部尿道吊带类型和并发性失落手术没有显著影响结果 (p>0. 05);BMI与6个月的目标失败有关.

结论:

同时进行的骨盆器官脱落手术与中尿道吊带手术的风险和成功率与单独的中尿道吊带手术相比较.
同时进行手术的决定应根据患者的因素和手术目标进行个性化.

关键词:

同时的手术, 盆腔器官脱落, 尿道中间, 治疗结果, 调查和问卷.

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