女性压力性尿失禁可分为最常见的尿道内括约肌功能正常但尿道活动亢进和尿道内括约肌功能不全有或无尿道活动亢进二类型。改良的Raz针经阴道膀胱尿道悬吊术,治疗第一类型效果满意。手术方法:取膀胱截石位。洗涤、消毒会阴及阴道。Foley导尿管排空膀胱。阴道后壁置重锤拉钩,显露阴道前壁。Foley尿管气囊充盈后稍牵拉,确定膀胱颈位置。阴道前壁行倒“U”形切口。切口顶端横过尿道中段平面,在此处识别白色的尿道旁筋膜。游离阴道壁瓣,若非复杂性悬吊术也可不游离。在膀胱颈平面,于阴道前壁粘膜下向耻骨分离。耻骨和盆内筋膜之间,锐性或钝性分离 Female stress incontinence can be divided into the most common urethral sphincter function but urethral hyperparathyroidism and urethral sphincter insufficiency with or without urethral hyperthyroidism two types. Modified Raz needle transvaginal bladder urethral suspension, the treatment of the first type of effect is satisfactory. Surgical methods: bladder lithotomy position. Wash, disinfect the perineum and vagina. Foley catheter emptying the bladder. Vaginal wall set heavy hammer pull hook, revealing the anterior vaginal wall. Foley catheter balloon slightly stretched after filling, to determine the location of the bladder neck. Vaginal anterior line inverted “U” shaped incision. The top of the incision traverses the mid-urethral plane where the white, para-urethral fascia is identified. Free vaginal wall flap, if not complex suspension can not be free. In the bladder neck plane, in the anterior vaginal mucosa anterior submucosal separation. Between the pubis and the pelvic fascia, sharp or blunt dissection