经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁31例报告

李文华; 张川; 王飚; 马嵘; 杨光; 丁峰; 王东耀; 赵志利

经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁31例报告

- 1. 航空总医院泌尿外科(北京, 100012);
- 2. 北京朝阳医院泌尿外科

详细信息

通讯作者: 李文华,E-mail:liwenhua361@sina.com

中图分类号: R695

收稿日期: 2012-03-15

Trans-obturator tension free vaginal tape for the treatment of female stress urinary incontinence (Report of 31 cases)

- 1. Department of Urology, Aviation General Hospital, Beijing, 100012, China;
- 2. Department of Urology, Beijing Chao-Yang Hospital

More Information

Corresponding author: LI Wenhua, E-mail: liwenhua361@sina.com

Received Date: 15 March 2012

摘要

摘要: 目的：探讨经闭孔无张力尿道中段悬吊术（TVT-O）治疗女性压力性尿失禁（SUI）的临床疗效及应用前景。方法：回顾性分析2005年 4月~2011年 3月采用TVT-O手术治疗31例女性压力性或混合性尿失禁患者的临床资料：年龄43~79岁，平均55岁；病程3~15年。结果：所有患者手术顺利。手术时间17~40 min，平均25 min；术中出血量10~50 ml，平均20 ml；术后住院2~7 d，平均3.5 d。术中无并发症。2例术后仍有轻度急迫性尿失禁，经药物治疗后缓解。4例术后大腿根部疼痛，术后7~15天消失。31例随访2~71个月，平均36个月，无SUI症状复发及排尿困难。结论：采用TVT-O治疗女性SUI操作简单，效果可靠，康复快，远期疗效满意，是一种较为理想的手术方法。
- 压力性尿失禁 /
- 女性 /
- 尿道中段悬吊术
Abstract: Objective: To evaluate the method and the efficacy of trans-obturator tension free vaginal tape(TVT-O) for the treatment of female stress urinary incontinence(SUI).Methods: In this study, 31 women(age range, 43-79 years; mean, 55 years; disease course, 3-15 years) suffering from genuine stress urinary incontinence(n=23) and mixed stress urinary incontinence(n=8) treated by TVT-O procedure from April 2005 to March 2011 in our hospital were analyzed retrospectively.Results: All 31 cases of operation were complete successfully. The average operative time was 25(17-40 min) and hemorrhage quantity was 20 ml(10-50 ml). No intraoperative complication occurred in the series. Four patients complained pain at the root of the thigh, and was cured simultaneously 7 to 15 days postoperation. With average follow-up of 36 months(2-71 months), 29 patients were cured and 2 patients were improved.Conclusions: TVT-O procedure for the treatment of SUI is a simple, effective and reliable method with lower complication rate. It is an ideal technique for the surgical treatment of female urinary stress incontinence.
- stress urinary incontinence /
- female /
- trans-obturator tension free vaginal tape

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参考文献(16)

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