经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁35例临床分析

Treatment for female stress urinary incontinence with tension-free vaginal tape-obturator procedure:clinical analysis of 35 cases

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的临床效果及安全性。方法：回顾性分析35例应用TVT-O治疗女性压力性尿失禁患者的临床资料。结果：35例患者手术平均时间30 min,术中平均出血量38 ml,平均住院天数3.5 d,术后随访3~30个月疗效满意。患者术后治愈28例,改善良好3例,改善中等4例,无尿失禁复发。结论：TVT-O具有操作简便快捷、微创、安全、有效、并发症少的优点,适合作为女性压力性尿失禁手术治疗的首选术式。

Objective： To determine the curative effectiveness and safety of tension-free vaginal tape-obturator procedure（TVT-O） as a new surgical treatment method for female stress urinary incontinence（SUI）.Methods： 35 cases of female urinary stress incontinence underwent TVT-O procedure were retrospectively analyzed.Results： The mean operation time was 30 min and the volume of mean bleeding was 38 ml.The mean hospital stay was 3.5 d.All 35 patients were followed up for 3 to 30 months,and obtained a satisfactory continence.The clinical symptoms disappeared after operation,there was no incontinence relapse.Conclusion： TVT-O is an effective treatment for female urinary stress incontinence with advantage of simple operating,minimal invasion,safety,and few complication.It can be used first for treating female urinary stress incontinence.