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无张力阴道吊带术治疗女性压力性尿失禁(附20例报告) 被引量:3

The Tension-free Vaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence
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摘要 目的 评价无张力阴道吊带术 (tension freevaginaltape,TVT)治疗女性压力性尿失禁的疗效。 方法 总结采用TVT术治疗女性压力性尿失禁 2 0例的临床资料。 结果 平均手术时间2 6 .5min。拔除尿管后 ,19例病人控尿满意 ,1例仍有轻微尿失禁。术后平均随访 12 (3~ 2 4 )个月 ,2 0例病人均无尿失禁。合并症有 1例膀胱穿孔 ,1例术后轻度排尿不畅 ,2例尿频尿急。 结论 TVT术操作简便快捷 ,创伤小 ,合并症少 ,术后康复快 。 Objective To assess the effect and safety of the tension-free vaginal tape (TVT) technique in the treatment of female urinary stress incontinence. Methods 20 cases with stress urinary incontinence were treated with TVT. Results The mean operation time was 26.5 minutes. In all cases, only 1 had a slightly urinary incontinence. All cases were followed up for 3 to 24 months ( mean 12 months), and obtained a satisfactory continence. The main complications included 1 bladder perforation without sequelae, 1 slight dysuria and 2 urinary urgency or frequent micturition. Conclusions TVT is a satisfactory technique for the surgical treatment of the female urinary stress incontinence. The advantages are facility, short operation time, minimally invasive procedure, low complication rate and prompt recovery.
出处 《中国现代手术学杂志》 2003年第5期359-361,共3页 Chinese Journal of Modern Operative Surgery
关键词 无张力阴道吊带术 手术治疗 女性 压力性尿失禁 stress urinary incontinence tension-free vaginal tape (TVT) female
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参考文献4

  • 1Petros PE, Ulmsten UI. An integral theory of female urinary incontinence. Experimental and clinical considerations [ J]. Acta Obstet Gynecol Scand, 1990, 69( Suppl 153 ) :7-31.
  • 2Ulmsten U, Henriksson L, Johnson P, et el. A ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence[J]. Int Urcgynnccol J Pelvic Floor Dysfunct, 1996,7(2) :81-86.
  • 3Nilsson C G, Kuuva N, Falconer C, et al. Long-tearm results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence[J].Int Urogynaecol J Pelvic Floor Dydunct, 2001, 12 (Suppl 2) :S5-S8.
  • 4Klutke JJ, Carlin BI, Klutke CG. The tension-free vaginal tape procedure:correction of stress incontinence with minimal alteration in proximal urethral mobility[J]. Urology, 2000,55 (4) :512-514.

同被引文献10

  • 1罗新,李彦博.无张力阴道悬吊术治疗压力性尿失禁5例报告[J].中国现代手术学杂志,2004,8(2):113-113. 被引量:1
  • 2Nilsson CG, Kuuva N, Falconer C, et al. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence[J]. Int Urogyaecol J Pelvic Floor Dysfunct, 2001,12(Supp 2):S5-S8.
  • 3Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence[J]. Int Urogynaecol J Pelvic Floor Dysfunct, 1996,7(2):81-86.
  • 4Jerry GB, Lauri JR, Nianne MH. Urinary incontinence: pathophysiology evaluation treatment overview and nonsurgical management. In:Walsh PC ,Retile AB, Vanghan ED, et al. Campbell's Urology. 7th.Philadephia: Saunders, 1998.1007- 1029.
  • 5Trockman BA, Leach GE. Needle suspension procedure:past,present and future. J Endourol, 1996,10:217-220.
  • 6Clemens JQ,Stern JA,Bushman WA,et al. Long - term results of the bladder neck suspension direct compirason with the Marshall-Marchetti-Krantz procedure. J Urol, 1998,160:372-376.
  • 7Nilsson CG,Kuuva N,Falconer C,et al. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct,2001,12(suppl 2) :5-8.
  • 8Klutke JJ,Carlin BI,Klutke CG. The tension-free vaginal tape procedure: correction of stress incontinence with minimal alteration in proximal urethral mobility. Urology,2000,55: 512-514.
  • 9Nilsson CG, Kuuva N, Falconer C, et al.Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence[J].Int Urogynaecol J Pelvic Floor Dysfunct,2001,12(Suppl 2):S5-S8.
  • 10潘柏年,杨勇,肖云翔,那彦群,郭应禄.应用吊带方法经皮膀胱颈悬吊治疗女性压力性尿失禁[J].中华泌尿外科杂志,2003,24(3):199-201. 被引量:9

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