经闭孔无张力尿道中段悬吊带术治疗女性压力性尿失禁的疗效分析

Analysis of the curative effect of obturator tension-free vaginal tape in the treatment of female stress urinary incontinence

目的探讨女性压力性尿失禁实施经闭孔阴道无张力尿道中段悬吊带术治疗的疗效。方法择本科室2015年6月至2017年6月期间80例女性压力性尿失禁患者,实施随机数表分为传统组和经闭孔组,各40例,传统组实施传统经阴道无张力尿道中段悬吊带术治疗,经闭孔组患者实施经闭孔无张力尿道中段悬吊带术治疗,分析对比不同术式的远近期疗效。结果经闭孔组患者术中出血量、手术时间、术后住院时间较传统组明显降低,比较差异有统计学意义(P<0.05)。经闭孔组患者治疗总有效率97.5%较传统组87.5%差异无统计学意义。经闭孔组患者术后并发症发生率2.5%较传统组20.0%明显降低,比较差异有统计学意义(P<0.05)。经闭孔组患者术后6个月复发率0.0%较传统组2.5%差异无统计学意义。结论女性压力性尿失禁实施经闭孔经阴道无张力尿道中段悬吊带术治疗疗效显著,且预后良好。

Objective To investigate the effect of transobturator vaginal tension-free vaginal tape suspension in the treatment of female stress urinary incontinence.Methods 80 cases of female stress urinary incontinence in our department from June 2015 to June 2017 were divided into traditional group and transobturator group,40 cases in each group.The traditional group was treated with traditional transvaginal tension-free mid-urethral suspension,and the transobturator group was treated with transobturator tension-free mid-urethral suspension.The distant and short-term effects of different operative methods were analyzed and compared.Results Compared with the traditional group,the bleeding volume,operation time and hospitalization time in the obturator group were significantly reduced,and the difference was statistically significant(P<0.05).The total effective rate of the patients in the obturator group was 97.5%,which was not significantly different from that in the traditional group(87.5%).The incidence of postoperative complications in the obturator group was 2.5%lower than that in the traditional group 20.0%(P<0.05).The recurrence rate of the 6 months after operation in the obturator group was 0.0%,which was not significantly different from that in the traditional group(2.5%).Conclusion Transobturator transvaginal tension-free vaginal tape suspension is an effective and prognostic method for female stress urinary incontinence.