T—consling吊带治疗女性压力性尿失禁的早期疗效

The short-term results of T-consling suspension in treating female stress urinary incontinence

目的 评价T—consling吊带治疗女性压力性尿失禁（stressurinaryincontinence，SUI）的疗效。方法2010年5月至2011年9月我院收治女性SUI患者9例，年龄45～63岁，平均51岁。病程1～5年，术前尿动力学检查诊断为单纯性SUI，腹腔漏尿点压为75～103cmH2O（1cmH2O=0．098kPa），平均87cmH2O，无明显阴道前壁膨出等盆腔脏器脱垂表现。均在硬膜外麻醉下行经阴道前壁切口T—consling吊带尿道中段悬吊术。结果9例手术均顺利完成，手术时间15～25min，平均17min；术中出血量5～30ml。术后3～4d拔除导尿管。术后随访1～17个月，平均9个月。8例尿失禁症状基本缓解，咳嗽等腹压增加时无明显漏尿发生；1例改善，腹部加压时仍有漏尿发生，但较术前明显好转。总的早期治愈率为89％。结论T—consling吊带治疗SUI安全、操作简单易行，近期疗效好。

Objective To evaluate the curative effect of stress urinary incontinence （SUI） with T- eonsling suspension surgery. Methods From May 2010 to September 2011, we treated 9 cases SUI with T-consling suspension surgery. The average age was 51 years （ range 45 - 63 years）. They all suffered from stress incontinence 1 -5 years. Urodynamic test were performed preoperatively and stress urinary incontinence was confirmed. Abdominal leak point pressures is between 75 - 103 cm H20 （average 87 cm H20） , and no obvious cystocele vaginalis and others pelvic organ prolapsed disease were detected. Operation was done by transvaginal front wall incision to place T-consling suspension tape beneath the middle urethra. Results Operation time were between 15 to 25 mins, with 17 minutes on average. EBL was 5 - 30 ml. Urinary catheters were drawn 3 -4 d postoperatively. In 9 cases, 8 were cured, one improved. The improved case had leakage when abdominal pressure increases, but became less significant, and the other cases had no leakage when abdominal pressure increases. The short-term cure rate was 89%. Conclusions The Tconsling suspension is safe, effective and easy to perform for the treatment of SUI, however, longer follow-up and more cases are necessary to confirm the long-term effects of this procedure.