摘要
目的 探讨经阴道无张力尿道悬吊带 (Tension freevaginaltape ,TVT)方法治疗女性压力性尿失禁的临床疗效。 方法 采用TVT术式治疗女性压力性尿失禁患者 37例。利用弧形Trocar穿刺针将TVT从阴道前壁切口放置于尿道中段下方 ,术后 2 4h拔除导尿管自行排尿。 结果 2例患者拔除导尿管后出现急性尿潴留 ,经扩张尿道 ,保留导尿后恢复正常排尿。 37例随访 3～16个月 ,平均 13个月 ,无尿失禁复发。 结论 TVT治疗女性压力性尿失禁疗效满意 ,手术简单 ,安全可靠 ,无严重并发症。
Objective To evaluate tension-free vaginal tape (TVT) procedure for women with ruinary incontience. Methods 37 patients with stress incontinence underwent the TVT procedure.An incision was made on the anterior vaginal wall and a curved trocar was introduced placing the TVT to the lower part of the middle urethra.An indevelling uretha catheter was with drained after 24 hours. Results The patients have been followed up for 3～16 months(mean follow-up of 13 months).All were cured by the TVT procedure.The main postoperative complication is retention (in 2 patients). Conclusions The results demonstrate that TVT procedure is safe and effective for the treatment of stress incontinence in female patients.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第6期403-405,共3页
Chinese Journal of Urology
