盆腔脏器脱垂术后压力性尿失禁的临床分析被引量：4

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摘要目的研究盆腔脏器脱垂术后压力性尿失禁(SUI)症状的变化情况。方法回顾性分析2013年7月至2014年6月江西省妇幼保健院住院部收治的盆腔脏器脱垂(POP)或合并SUI并接受手术治疗的80例患者的临床资料,按不同的术式分为阴式全宫组(25例)、盆底悬吊术组(30例)和腹腔镜组(25例),并根据患者术前、术后SUI的情况,又可将其分为术前无客观SUI组(29例)、术前POP合并SUI且同行经闭孔尿道中段无张力悬吊手术(TVT-O)术组(25例)以及未行TVT-O术组(26例)。比较分析手术治疗前后患者压力性尿失禁症状的变化情况。结果术前POP合并SUI且同行TVT-O术组的POP-Q值明显优于术前无客观SUI组和未行TVT-O术组,差异有统计学意义(P<0.05);同行TVT-O术组术后SUI的发生率明显降低,差异有统计学意义(P<0.05);且腹腔镜下腹膜外子宫悬吊术组的手术效果较之其他两组更为显著,差异有统计学意义(P<0.05)。结论应用腹腔镜下腹膜外子宫悬吊术进行盆腔脏器脱垂的治疗,能有效缓解压力性尿失禁症状,效果显著。同时,在进行盆腔脏器脱垂术的同时实施预防性压力性尿失禁手术,能有效降低术后压力性尿失禁的发生率。

作者朱奕融

机构地区江西省妇幼保健院妇科

出处《医疗装备》 2017年第1期133-134,共2页 Medical Equipment

关键词压力性尿失禁盆腔脏器脱垂术经闭孔尿道中段无张力悬吊手术术后新发压力性尿失禁

分类号 R711 [医药卫生—妇产科学]

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