摘要
目的探讨女性压力性尿失禁的发病机制和微创治疗方法。方法女性压力性尿失禁患者25例,经临床、尿动力学检查或膀胱尿道造影确诊,均为稳定性膀胱,无膀胱出口梗阻。采用无张力阴道吊带术(TVT),将吊带无张力置于尿道中段。结果手术时间平均(40±5)min;术中出血量平均(43±10)mL;术后平均留置导尿1.5 d;术后平均住院3 d。23例患者术后尿失禁症状均消失,其中2例患者术后出现尿潴留,留置导尿1周后好转,尿潴留症状消失,尿失禁未复发;2例尿失禁症状显著改善。结论TVT等微创术式因简单、微创、疗效好、并发症少等,目前是女性压力性尿失禁外科手术治疗的发展方向。
Objective To evaluate the value of mini-invasive treatment in female stress urinary incontinence （FSUI）. Methods 25 FSUI patients were treating with TVT operation. All the patients were confirmed to have stable bladder without outlet obstruction via clinical routine and urodynamic examination before operation. TVT was implanted around mid-urethra. Results The mean operation time was （40±5）min and the mean intraoperative bleeding was （43±10）mL. The mean catheterization time was 1.5 days and mean hospital stay was 3 days. No major bleeding was observed in operation. 23 cases were cured and the clinical symptoms disappeared after operation except for two patients with post-operative urine retention who were catheterized for 1 week; then the urine retention disappeared and no incontinence recurred. 2 cases improved qreatly. Conclusion Simple reliable and with few complications, mini-invasive surgery, such as TVT, can be widely used to treat FSUI.
出处
《现代泌尿外科杂志》
CAS
2006年第1期35-37,共3页
Journal of Modern Urology
关键词
女性压力性尿失禁
微创治疗
female stress incontinence
mini-invasive treatment
