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Metallic bead- chain urethrocystography and measurement of bladder and urethral pressures were done in 60 women, who consisted of two groups:(1) 30 normal women as control; (2) 30 female patients with urinary stress incontinence. The results were as follows: The posterior urethrovesical angle was 129°±15.0° and 140.7° ± 38.9°(P>0.05) respectively during rest. The urethral inclination angle was 13.5°±9.0° and 20.2° ± 22.2° (P>0.05) respectively during rest. The posterior urethrovesical angle was 135.5°... Metallic bead- chain urethrocystography and measurement of bladder and urethral pressures were done in 60 women, who consisted of two groups:(1) 30 normal women as control; (2) 30 female patients with urinary stress incontinence. The results were as follows: The posterior urethrovesical angle was 129°±15.0° and 140.7° ± 38.9°(P>0.05) respectively during rest. The urethral inclination angle was 13.5°±9.0° and 20.2° ± 22.2° (P>0.05) respectively during rest. The posterior urethrovesical angle was 135.5° ±13.8° and 176.0°±10.0° (P<0.01) respectively during stress. The urethral inclination angle was 26.2°±9.8° and 57.8°±43.9° (P<0.01) respectively during stress. Therefore diagnosis of urinary stress incontinence might be based upon the increased urethral inclination angle over 45 degree and the increased posterior urethrovesical angle about 180° during stress. Cystometry demonstrated similar data about residual urine, volume at first desire to void, and maximum volume and pressure of the bladder were present in nomal women and women with urinary stress incontinence. The urethral pressure profiles of stress incontinence showed that there were low resting urethral pressure and short functioal urethral length in the women with the symptom. 本文通过对30例对照组和30例压力性尿失禁组进行金属珠链膀胱造影和膀胱测压,其中对20例对照组和20例压力性尿失禁组同时进行尿道测压表明:1.膀胱尿道后角为180度和尿道倾角>45度可以作为诊断压力性尿失禁的依据。2.对照组和压力性尿失禁组初感尿意最大膀胱容量,压力相同。3.压力性尿失禁组比对照组的最大尿道压低,最大尿道关闭压低,功能尿道长度短。 Thirty-five Cases of stress incontinence were treated by operations After operaitons, the mean length of the urethrae had been prolonged 1.15 cm.The curative rate immedia- tely after operation was 94.3%.Twenty-three cases had been followed up.The cara- tive rate in patients(over 2 years)after operations was 82.6%.The causes,diagnosis and operative procedures of stress incontinence were evaluated and discussed. 本文报道35例手术治疗压力性尿失禁病例,术后尿道平均延长头15cm,术后治愈率94.3%,获得随访23例,两年以上治愈率82.6%。本文对其病因、诊断及几种手术方式分析讨论。 TURP was undertaken in 120 cases. The indications of TURP are recommended: All edges of the gland are palpable (less than 50g in weight) The one does not suitable for the open prostatectomy because of serious combined diseases; Medication is of no effect on the one with obvious obstructive symptoms. The prostate should be resected thoroughly in principle, but the amount of the resected prostatic tissue should be taken into consideration to avoid stress incontinence for the one with neurogenic bladder.... TURP was undertaken in 120 cases. The indications of TURP are recommended: All edges of the gland are palpable (less than 50g in weight) The one does not suitable for the open prostatectomy because of serious combined diseases; Medication is of no effect on the one with obvious obstructive symptoms. The prostate should be resected thoroughly in principle, but the amount of the resected prostatic tissue should be taken into consideration to avoid stress incontinence for the one with neurogenic bladder. Some other problems were also discussed in the article. 本文报道了120例TURP治疗的体会。提出了TURP适应证:肛诊能触及整个腺体边经受缘者(约50g以下);有合并疾病,不适开放手术者;药物治疗无效,确有梗阻症状,应尽早手术者。关于切除量,原则应彻底切除,但对合并神经原性膀胱等疾病者,可酌情切除,免致压力性尿失禁。
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