摘要
目的评价Stam ey膀胱颈悬吊术和无张力阴道吊带术(TVT)治疗女性压力性尿失禁的疗效。方法总结2种方法治疗49例女性压力性尿失禁的临床资料。Stam ey组26例,平均年龄57岁。尿失禁Ⅰ度3例,Ⅱ度15例,Ⅲ度8例。TVT组23例,平均年龄58岁。尿失禁Ⅰ度2例,Ⅱ度13例,Ⅲ度8例。对2组术中记录,术后控尿、合并症以及复发情况进行比较。结果Stam ey和TVT组平均手术时间分别为43 m in和27 m in。术中膀胱穿孔发生率为19%(5/26)和4%(1/23)。拔尿管后无尿失禁者分别为92%(24/26)和96%(22/23);尿潴留发生率为8%(2/26)和0%。术后6个月,无尿失禁者分别为89%(23/26)和100%(23/23)。合并耻骨上区疼痛者分别为58%(15/26)和9%(2/23);排尿不畅或剩余尿>50 m l者分别为15%(4/26)和9%(2/23);尿频尿急发生率分别为54%(14/26)和17%(4/23)。结论2种方法治疗女性压力性尿失禁初期疗效均较好,但TVT法术后指标优于Stam ey法。
Objective To evaluate the efficacy of Stamey bladder neck suspension and tension-free vaginal tape （TVT） procedures in treating female stress urinary incontinence. Methods A total of 49 cases of female stress urinary incontinence were included. Stamey bladder neck suspension was performed in 26 cases （Stamey group;mean age,57 years） and TVT was performed in 23 cases （TVT group;mean age,Sg years）. In Stamey group,3 cases had incontinence of degree Ⅰ ;15, degree Ⅱ ;and 8, degree Ⅲ. In TVT group ,2 cases had incontinence of degree Ⅰ ;13,degree Ⅱ ;and 8,degree Ⅲ. The records of the operations, postoperative urinary continence, postoperative complications and recurrence of incontinence were compared between the 2 groups. Results In Stamey group and TVT group, the mean operative time was 43 min and 27 min,respectively;the rates of bladder perforation were 19% （5/26） and 4% （1/23） , respectively. After removing the catheters,92% （24/26） of the patients in Stamey group remained dry, compared with 96% （22/23） in TVT group. The retention of urine occurred in 8% （2/26） of the patients in Stamey group and in none of them in TVT group. Six months later,89% （23/26） of the patients in Stamey group remained dry, compared with 100% （23/23） in TVT group. Postoperative suprapubic pain was present in 58% （15/26） and 9% （2/23） of the patients in Stamey and TVT groups. The rates of dysuria or residual urine 〉 50 ml in Stamey and TVT groups were 15% （4/26） and 9% （2/23） ,respectively. Urinary urgency and frequent micturition were present in 54% （14/26） and 17% （4/23） of the patients in Stamey and TVT groups. Conclusions The Stamey and TVT procedures both have high initial cure rates,but the postoperative evaluation indexes of TVT group are significantly better than those of Stamey group.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2005年第12期844-846,共3页
Chinese Journal of Urology
关键词
尿失禁
女性
外科手术
Urinary incontinence
Female
Surgical procedure,operative
