阴道单切口可调节无张力尿道中段悬吊术治疗压力性尿失禁近期疗效评价

Short-term outcomes of the Adjustable Single-Incision Sling for the treatment of stress urinary incontinence

目的了解阴道单切口可调节无张力尿道中段悬吊术(Adjustable Single-Incision Sling,ASIS Ajust)治疗压力性尿失禁的疗效。方法回顾性分析2012年10月至2012年12月因压力性尿失禁在北京大学人民医院接受ASIS Ajust手术治疗的患者10例,采用治愈率、手术并发症及尿失禁生活质量问卷(incontinence quality of life,I-QOL)、泌尿生殖道症状调查表(urogenital distress inventory,UDI-6)评价疗效。结果 ASIS Ajust术后6个月客观及主观治愈率100%,术后4d1例尿潴留,2例排尿困难,无吊带侵蚀;术后IQOL评分较术前显著提高(P<0.05),UDI-6评分较术前显著降低(P<0.05)。结论 ASIS Ajust治疗压力性尿失禁操作简便,安全有效,能显著改善患者生活质量。

Objective To estimate the efficiency of the Adjustable Single-Incision Sling for the patient with stress urinary incontinence.Methods It was a retrospective study conducted in women with stress urinary incontinence who were implanted with the Ajust Sling.Evaluations were performed to assess successful rate of continence,complications,Incontinence quality of life（I-QOL）and urogenital distress inventory（UDI-6）.Results The cure rate and patient-reported success rate were 100%at 6months follow-up.There was 1urinary retention,2 dysuria occurred.The values of I-QOL and UDI-6decreased significantly after the operation（P0.05）.Conclusions In short-term follow-up,the ASIS Ajustis safe and effective for the treatment of stress urinary incontinence.It can be significantly improve patients＇quality of life.