摘要
目的探讨经闭孔、经阴道无张力尿道中段悬吊术(TVT-O)治疗压力性尿失禁(SUI)的临床疗效。方法将43例女性SUI患者随机分为两组,TVT组21例采用TVT术式,TVT-O组22例采用TVT-O术式,比较两组患者临床疗效。结果 TVT组手术时间30～59min,平均为(37.5±13.3)min;TVT-O组手术时间20～50min,平均为(28.0±7.4)min,两组平均手术时间比较差异有统计学意义(P<0.05);两组术中出血量、平均留置尿管时间、平均住院时间比较,差异无统计学意义(P>0.05)。两组共41例(95.3%)患者术后尿失禁得到控制,术后随访8～12个月无再次尿失禁发生。TVT组术中发生膀胱损伤者2例(9.5%),拔除导尿管后尿潴留2例(9.5%);TVT-O组拔除导尿管后尿潴留2例(9.1%),未发生膀胱损伤。结论 TVT-O手术具有简单、微创、并发症少等特点,是治疗女性压力性尿失禁的安全有效方法。
Objective To assess the effectiveness of the tension-free vaginal tape obturator technique （TVT-O） procedure on female stress urinary incontinence. Methods Forty-three female patients with SUI were randomized to receive TVT procedure（n= 21） or TVT-O procedure（n= 22） from February 2010 to February 2012,and the clinical effects of two group were compared. Results The mean time of operation in TVT group was（37.5±13.3） rain（30 to 59 min）, the mean time of operation in TVT-O group was（28. 0±7.4） min（20 to 50 min） ,and there were significant differences between two groups（P〈0. 05）. There was no significant difference in the volume of blood loss during operation, mean duration of indwelling catheter and average length of hospital stay between two groups（P〉0. 05）. The symptoms of uri- nary incontinence in 41 patients（95.3%） in two groups were controlled after operation, and no incidence of urinary incontinence occurred during the follow-up for 8 to 12 months. There were 2 patients（9.5%） with intraoperative bladder injury and 2 patients（9.5%） with urinary retention after catheter removal in TVT group. There were 2 patients （9.1%） with urinary retention after catheter removal and no case of bladder injury in TVT-O group. Conclusion With advantages in simple procedure, minimal invasion and lower complication rate, TVT-O is a safe and effective technique for the surgical treatment of the female urinary stress incontinence.
出处
《西部医学》
2013年第5期690-692,共3页
Medical Journal of West China
关键词
尿失禁
压力性
TVT-O
Urinary incontinence
Stress
Tension-free vaginal tape obturator technique
