经闭孔无张力尿道中段悬吊术后并发症分析及防治对策

ANALYSIS AND PREVENTION STRATEGY OF COMPLICATIONS AFTER TRANS -OBTURATOR TENSION -FREE VAGINAL TAPE OPERATION

目的提高对经闭孔无张力尿道中段悬吊术(trans obturator tensionfree vaginal tape,TVT-O)术后并发症的认识和处理能力,并提出防治措施。方法回顾性分析在我院妇科住院行TVT-O治疗的单纯压力性尿失禁(stress urinary incontinence,SUI)患者84例,术后18例(21.4%)患者出现不同程度的大腿根部疼痛,但能自行缓解,有1例疼痛持续时间超过1周;5例(6.0%)出现排尿困难,其中2例(2.4%)发生尿潴留;3例(3.6%)出现膀胱过度活动症;1例(1.2%)发生吊带侵蚀。对出现的并发症进行分析,并予对症治疗。结果经对症治疗后,均效果满意。结论 TVT-O治疗压力性尿失禁存在一定的并发症,但这些并发症都是可防可治的。

Objectiv trans obturator tension -free e To improve the cognitive ability and treatment of complications after the vaginal tape operation （TVT- O） and to propose the prevention measures. Methods Eighty- four stless urinary incontinence （SUI） patients accepted TVT- O were retrospectively analyzed in the first hospital of Shijiazhuang. After the operation, 18 Patients （21.4%） felt various degrees of thigh pain with spontaneous resolution and one felt pain lasting for more than 1 week; five cases （ 6. 0% ） showed dysuria, two cases （ 2. 4% ） urinary retention; Three cases （ 3. 6% ） overactive bladder and 1 case （ 1. 2% ） tape erosion. The complications were analyzed and treated. Results The satisfactory result was received after the treatment. Conclusion There are some complications of the TVT- O, but these complications are preventable and curable.