尿失禁规范诊疗流程和患者教育的经验分享.ppt

01020304术后当日嘱患者卧床，尽量减少活动。术后第1天拔除尿管，取出阴道内纱布，观察小便情况，如无特殊当日或次日可出院。回家后可用碘伏棉签擦拭阴道，2天1次，共5次。05出院服用甲硝唑（阴道冲洗剩下的）和头孢类抗生素。对术中出血较多可给予伤口压沙袋或使用止血药。出院诊断书手术名称为：“尿道悬吊术”。术后一月内避免重体力活动和性生活。一周后门诊复查。06术后：患者教育经验分享诊疗流程介绍初步临床资料报道2012年2月到2012年5月我科应用TVT-O术治疗98例SUI女性，患者年龄66±16岁01健康宣教02基本情况年龄分布患者年龄66±16岁混合型尿失禁占比*****IncreasingUIprevalencerateswithincreasingage.Earlyprevalencepeakinmidlifearounfmenopause.SUImostcommoninyoungerwomenandMIinolderwomen.*KeyPointsSource(s)SupportingInformationStep1:PositionPatientandMarkReferencePointsPlacepatientindorsallithotomypositionwithhipshyperflexedwiththecoccyxflushtotheedgeofthetable.ThispositioningensuresthereisadequatespacetoallowthehandletodropIfdesired,locatethereferencepointsfirstbytracingahorizontallineattheleveloftheurethralmeatus,andthentraceasecondlineparalleland2cmabovethefirstline.Markthereferencepointsonthissecondline,2cmlateraltothefoldsofthethigh.DonotmakeanincisionatthispointStep2:MakeVaginalIncisionandDissectUsingAllisclampsfortraction,makea1-cmmidlinevaginalincisionstarting1cmproximaltotheurethralmeatusInitiateusingsharpdissectionWiththescissorsorientedonthehorizontalplane,dissectfromthevaginalincisionusinga“push-spread”techniquetotheinferiorpubicramusContinuedissectionjustpasttheischio-pubicramusandintotheobturatorinternusmuscle,butdonotperforatetheobturatormembrane.TheaimofthedissectionistocreateachannelthatisjustwideenoughforinsertionoftheWingedGuidewithoutperforatingtheobturatormembrane*KeyPointsSource(s)SupportingInformationStep9:RepeatSteps2–8onPatient’sOtherSideRepeatthetechniqueonthepatient’sotherside

压力性尿失禁患者教育、诊疗流程和初步临床资料报道

卫生部北京医院泌尿外科张耀光患者教育经验分享诊疗流程介绍初步临床资料报道现状中国人口老龄化趋势据第六次人口普查的资料显示：60岁人口占总人口比例13.26%，65岁人口占总人口比例8.87%，（人口学定义：60岁人口占