女性压力性尿失禁的诊治进展

潘铁军; 李佳怡

doi:10.13201/j.issn.1001-1420.2019.06.001

女性压力性尿失禁的诊治进展

潘铁军¹,
李佳怡^2, ,

- 1. 中国人民解放军中部战区总医院泌尿外科(武汉, 430070);
- 2. 上海交通大学医学院附属仁济医院泌尿科

详细信息

作者简介:
潘铁军, 主任医师, 博士研究生导师。现任中国人民解放军中部战区总医院泌尿外科主任, 中华医学会泌尿外科学分会常委兼主任委员助理, 全军泌尿外科专业委员会副主任委员, 全国女性泌尿外科学组组长, 全国机器人学组副组长, 女性下尿路疾病及盆底功能障碍性疾病专家联盟主席等学术职务。担任《中华泌尿外科杂志》、《临床泌尿外科杂志》、《临床外科杂志》、《中华男科杂志》等杂志编委。在国内外发表论文60余篇, 主编参编专著10余部。承担国家及省部级课题10余项, 以第一完成人获军队及省部级科技成果二、三等奖近10项, 获得国家专利8项, 2014年荣获吴阶平泌尿外科医学奖。

通讯作者: 李佳怡,E-mail:lijiayi0817@163.com

中图分类号: R711

收稿日期: 2019-03-29

Progress of surgical treatment of female stress incontinence

PAN Tiejun¹,
LI Jiayi^2, ,

- 1. Department of Urology, General Hospital of Central Theater Command, Wuhan, 430070, China;
- 2. Department of Urology, Renji Hospital, Shanghai Jiao Tong University School of Medicine

More Information

Corresponding author: LI Jiayi, E-mail: lijiayi0817@163.com

Received Date: 29 March 2019

摘要

摘要: 女性压力性尿失禁(SUI)指喷嚏、咳嗽等腹压增高时出现不自主的尿液从尿道外口漏出。体征是在腹压增加时观察到尿液不自主地从尿道流出,且腹压下降时漏尿自动停止。其尿动力学检查表现为充盈性膀胱测压时,在腹压增高且无逼尿肌收缩的情况下出现不自主漏尿。目前临床应用最广泛的治疗是经阴道无张力中段尿道吊带术(MUS)。规范化SUI的诊疗流程具有非常重要的意义,更微创有效地预防和治疗方法有待进一步探索。
- 压力性尿失禁 /
- 诊断 /
- 治疗 /
- 经阴道无张力中段尿道吊带术
Abstract: The International Continence Society (ICS) defines the symptom of stress urinary incontinence as “the complaint of involuntary leakage on effort or exertion, or on sneezing or coughing”. Signs are observed by involuntary leakage from the urethra, synchronous with exertion/effort, or sneezing or coughing. Urodynamic stress incontinence is noted during urodynamic testing (filling cystometry) and is defined as the involuntary leakage of urine during increase in abdominal pressure in the absence of a detrusor. Tension free vaginal tape procedure is the most popular treatment option currently. Standardization of the diagnosis and treatment procedure is significantly important. Further minimal invasive and effective precaution and treatment strategies need exploring.
- stress urinary incontinence /
- diagnosis /
- treatment /
- tension free vaginal tape procedure

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