The Clinical Utilization of Laparoscopic Burch Operation in Treatment of 32 Stress Urinary Incontinence Cases QI_West China Medical Journal

Authors：

1Department of Obstetric and Gynecology,Mianyang Center Hospital, Mianyang Sichuan 621000, China;2 Department of Obstetric and Gynecology,The First People’s Hospital of Guangyuan, Guangyuan Sichuan 628017, China;

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Keywords：

壓力性尿失禁; 女性; 腹腔鏡; Burch手術

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目的:探討腹腔鏡下膀胱頸Cooper韌帶懸吊術(Burch手術)治療女性壓力性尿失禁的使用方法和臨床價值。方法: 回顧性總結2005年3月至2009年2月采用腹腔鏡Burch手術治療女性壓力性尿失禁的臨床資料32例。結果:手術時間75～140 min,平均90 min,術中出血40～80mL,平均55mL。隨訪3～12個月,平均6個月,32例患者中28例癥狀完全緩解,4例有效。無1例手術并發癥。結論: 采用腹腔鏡Burch手術治療壓力性尿失禁臨床效果滿意,并發癥少,是一種較為理想的方法。

Citation： QI ChengQiu,Xie ShanLi. The Clinical Utilization of Laparoscopic Burch Operation in Treatment of 32 Stress Urinary Incontinence Cases QI. West China Medical Journal, 2009, 24(9): 2303-2305. doi: Copy

1.	VANCAILLE T G, SCHUESSLER W. Laparoscopic bladder neck suspension[J]. J Laparosendosc Surg, 1991, 1(3):169 -1731.
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. VANCAILLE T G, SCHUESSLER W. Laparoscopic bladder neck suspension[J]. J Laparosendosc Surg, 1991, 1(3):169 -1731.
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.

West China Medical Journal

The Clinical Utilization of Laparoscopic Burch Operation in Treatment of 32 Stress Urinary Incontinence Cases QI

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