Tension-free vaginal tape-obturator technique for female stress urinary incontinence: results of 46 cases
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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)的临床效果。方法:2010年9月~2012年9月采用TVT-O治疗SUI患者46例。结果:手术时间20~40 min,平均26 min,术中出血平均为20 ml。48小时拔管后尿失禁消失46例,2例患者术后出现排尿困难,对症治疗后缓解,无其他并发症出现。随访2~18个月,无一例复发。33例患者术后6个月行尿流动力学检查,最大尿流率、剩余尿量评分差异无统计学意义(P>0.05)。结论:采用TVT-O治疗SUI简单易行,操作安全,并发症发生率低,术后效果满意。
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关键词:
- 经闭孔无张力尿道中段悬吊术 /
- 女性压力性尿失禁 /
- 经耻骨后无张力尿道中段悬吊术
Abstract: Objective: To investigate the effectiveness and safety of tension-free vaginal tape-obturator technique(TVT-O) for femal stress urinary incontinence.Methods: Forty-six cases with SUI underwent TVT-O procedure.Results: The mean operation time was 26 min (range 20-40) and average blood loss was 20 ml. Forty-six cases were cured after removal of catheters and 2 cases felt difficulty in urination. Bladder micturition functions were restored after treatment and no other complications emerged on the patients. All patients were followed up from 2 to 18 months, and no patient recurred. Thirty-three patients underwent urodynamic examination after 6 months and there was no significant difference in PVR scores and Qmax levels (P>0.05).Conclusions: TVT-O procedure is a safe and efficient surgical treatment for female SUI. -
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