TVT-Abbrevo<sup>TM</sup>吊带术治疗女性压力性尿失禁的疗效观察

廖科学; 张雪培; 魏金星; 王智勇; 王声政; 任选义

doi:10.13201/j.issn.1001-1420.2014.02.013

TVT-Abbrevo^TM吊带术治疗女性压力性尿失禁的疗效观察

- 郑州大学第一附属医院泌尿外科(郑州, 450052)

详细信息

通讯作者: 张雪培, E-mail:zhangxuepei@263.net

中图分类号: R699.7

收稿日期: 2013-11-16

Curative effects of TVT-Abbrevo^TM system in the treatment of female stress urinary incontinence

- Department of Urology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China

More Information

Corresponding author: ZHANG Xuepei, E-mail: zhangxuepei@263.net

Received Date: 16 November 2013

摘要

摘要: 目的: 探讨TVT-Abbrevo^TM吊带手术治疗女性压力性尿失禁(SUI)的疗效及安全性。方法: 2013年5~8月共收集SUI患者16例,应用TVT-Abbrevo^TM吊带系统进行治疗,记录并分析所有患者的临床资料,包括治愈率、满意度和手术并发症等。结果: 16例手术均获得成功,手术时间19~45 min,失血量15~30 ml。术中无膀胱、尿道、肠管、阴道等损伤,无会阴血肿和切口感染,无排尿困难、新发尿急。2例大腿根部酸痛,未予特殊治疗自然消失;1例术后排尿困难,经留置尿管48小时后,症状消失;1例术后尿频,口服舍尼亭4 mg,每日2次,2周后尿频消失。16例尿失禁均消失,咳嗽试验阴性,随访1~12周无复发。结论: TVT-Abbrevo^TM 吊带手术治疗女性压力性尿失禁,并发症少,近期疗效良好。
- 压力性尿失禁 /
- TVT-AbbrevoTM /
- 疗效 /
- 并发症
Abstract: Objective: To evaluate the efficacy and safety of TVT-Abbrevo^TM system for the treatment of female stress urinary incontinence. Method:From May 2013 to August 2013, 16 consecutive subjects were enrolled in the study. All patients with primary urodynamic SUI were prospectively selected to receive TVT-Abbrevo^TM system procedure. The clinical data were recorded and analyzed, including objective and subjective cure rate and operative complications. Result:All surgeries were successful. The operative duration was 19-45 min, and the blood loss ranged from 15 to 30 ml. During the operation, no bladder, urethra, intestinal canal or vagina were injuried, and no perineal hematoma, incision infection, voiding dysfunction or recurrent urgent micturition appeared postoperatively. Only two cases of thigh pain occurred, which relieved by corresponding management. One case suffered from postoperative dysuria, given the indwelling catheter for 48 hours. One case was found urinary frequency, given Tolterodine Tartrate Tablets 4 mg twice a day for two weeks. All of the 16 SUI cases were cured and cough tests were negative. After a follow-up period of one to twelve weeks, no one recurred. Conclusion: Short-term results of TVT-Abbrevo^TM system for the treatment of female SUI are satisfying considering minimal invasion and less complications.Key words stress urinary incontinence; TVT-Abbrevo^TM; efficacy; complication[HT7SS]
- stress urinary incontinence /
- TVT-AbbrevoTM /
- efficacy /
- complication

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