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尿道中段悬吊带术后排尿功能障碍的处理国际妇科泌尿协会专业委员会意见解读
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Obstetrics and Gynecology
- Issue:
- 3
- DOI:
- 10.3760/cma.j.issn.0529-567x.2019.03.017
- Key Word:
- No keyword available
Abstract： 各种尿道中段悬吊带术(耻骨后、经闭孔或单切口)术后排尿功能障碍并非罕见,如何处理该并发症目前尚无共识.术后排尿功能障碍通常是短暂而自限的,但是如果长期存在可能影响逼尿肌功能并可造成不可逆的损伤.初始处理包括间歇导尿和去除诱因等.早期的吊带松动术创伤小,通常可以解除排尿功能障碍症状.晚期可行吊带切开或切除术,临床有效,但是有压力性尿失禁复发的可能.尿道扩张的循证医学证据不充分.尿道中段悬吊带术做为目前最常用的治疗压力性尿失禁的术式,如何预防、评估和处理术后排尿功能障碍非常重要,本文对于临床实践有重要的指导意义和实用价值.
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