• 1綿陽(yáng)市中心醫(yī)院婦產(chǎn)科,四川綿陽(yáng) 621000;2廣元市第一人民醫(yī)院婦產(chǎn)科,四川廣元 628017;

目的:探討腹腔鏡下膀胱頸Cooper韌帶懸吊術(shù)(Burch手術(shù))治療女性壓力性尿失禁的使用方法和臨床價(jià)值。方法: 回顧性總結(jié)2005年3月至2009年2月采用腹腔鏡Burch手術(shù)治療女性壓力性尿失禁的臨床資料32例。結(jié)果:手術(shù)時(shí)間75～140 min,平均90 min,術(shù)中出血40～80mL,平均55mL。隨訪3～12個(gè)月,平均6個(gè)月,32例患者中28例癥狀完全緩解,4例有效。無(wú)1例手術(shù)并發(fā)癥。結(jié)論: 采用腹腔鏡Burch手術(shù)治療壓力性尿失禁臨床效果滿意,并發(fā)癥少,是一種較為理想的方法。

引用本文： 齊成秋,謝珊麗. 腹腔鏡Burch手術(shù)治療女性壓力性尿失禁32例分析. 華西醫(yī)學(xué), 2009, 24(9): 2303-2305. doi: 復(fù)制

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2. DE LANCEY J O. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis[J]. Am J Obstet Gynecol, 1994,170(6): 1713.
3. JENKINS T R,LIU C Y. Laparoscopic Burch colposuspension[J]. Curr Opin Obstet Gynecol, 2007, 19(4): 314-318.
4. JELOVSEK J E, BARBER M D, KARRAM M M. Randomised trial of laparoscopic Burch colposuspension versus tensionfree vaginal tape: longterm follow up[J]. BJOG, 2008, 115(2): 219225.
5. BUNYAVEJCHEVIN S, Wisawasukmongchol W. Five years follow up of laparoscopic burch colposuspension for stress urinary incontinence in Thai women[J]. J Med Assoc Thai, 2005, 88(9):1182-1186.
6. DENOIT V, BIGOTTE A, MIANNAY E, et al. Burch laparoscopic colposuspension. Results of 30month followup[J]. Ann Chir, 2000, 125(8):757- 763.
  1. 1. VANCAILLE T G, SCHUESSLER W. Laparoscopic bladder neck suspension[J]. J Laparosendosc Surg, 1991, 1(3):169 -1731.
  2. 2. DE LANCEY J O. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis[J]. Am J Obstet Gynecol, 1994,170(6): 1713.
  3. 3. JENKINS T R,LIU C Y. Laparoscopic Burch colposuspension[J]. Curr Opin Obstet Gynecol, 2007, 19(4): 314-318.
  4. 4. JELOVSEK J E, BARBER M D, KARRAM M M. Randomised trial of laparoscopic Burch colposuspension versus tensionfree vaginal tape: longterm follow up[J]. BJOG, 2008, 115(2): 219225.
  5. 5. BUNYAVEJCHEVIN S, Wisawasukmongchol W. Five years follow up of laparoscopic burch colposuspension for stress urinary incontinence in Thai women[J]. J Med Assoc Thai, 2005, 88(9):1182-1186.
  6. 6. DENOIT V, BIGOTTE A, MIANNAY E, et al. Burch laparoscopic colposuspension. Results of 30month followup[J]. Ann Chir, 2000, 125(8):757- 763.