A Comparison of Marshall-Marchetti-Krantz Procedure versus Endoscopic Suspension of the Bladder Neck for Treatment of Stress Urinary Incontinence

Marshall-Marchetti-Krantz手術與內視鏡膀胱頸懸吊術對於女性應力性尿失禁治療的比較

陳鉅淮(Chu-Huai Chen) ； 謝輝和(Ho Hsieh) ； 余燦榮(Tsan-Jung Yu) ； 楊文洲(Wen-Chou Yang) ； 徐淳建(Kenneth Shu)

《中華民國泌尿科醫學會雜誌》 4卷3期 (1993/09) Pp. 1119-1123

https://doi.org/10.7024/JUAROC.199309.1119

摘要

從1987年至1991年5年來有43位女性尿失禁尿失禁病人各接受兩種不同的手術，其中14位病人接受Marshall-Marchetti-Karantz手術，另外29位病人接受內視鏡膀胱頸懸吊術。這43位病人有4位失去術後追蹤，其餘39位庚人很規律的在門診追診蹤或接受電話追蹤，平均追蹤時間為十八個月。27位病人接受內視鏡膀胱懸吊術其中19位有明顯改善百分之七十，所有接受Marshall-Marchetti-Karantz手術之病人則都有較好的結果。這兩種手術的併發症並無顯著的差異。我們的結論是儘管內視鏡膀胱頸懸吊術目前是一種相當普遍的手術，然而Marshall-Marchetti-Karantz手術是非常有效的手術。

並列摘要

Forty-three female patients, diagnosed as having stress uninary incontinence, were treated from 1987 to 1991 with two different surgical procedures. The Marshall-Marchetti-Karantz (M-M-K) procedure was used in 14 cases and endoscopic suspension of the bladder neck, in 29 cases. Four of the 43 cases were lost to follow-up. Thirty-nine patients were follow-up was 18 months. The nineteen of 27 patients (70%) receiving endoscopic suspension of the bladder neck had much improvement. However, results were better in all 12 patients receiving M-M-K procedure, as compared to endoscopic suspension of the bladder neck. Comparable complication were experienced in both groups. In conclusion, the M-M-K procedure was a very effective procedure for treatment of female stress urinary incontinence, although endoscopic suspension of the bladder neck is still in frequent use.

並列關鍵字

urinary incontinence ； stress