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TVT-O治疗女性压力性尿失禁16例临床分析 被引量：1

TVT-O procedure for the treatment of stress urinary incontinence (Report of 16 cases)
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摘要 目的探讨经闭孔无张力尿道悬吊术(TVT-O)治疗女性压力性尿失禁(SUI)的临床效果。方法对16例SUI患者进行TVT-O治疗。结果手术时间25～45min,平均30min,术中出血10～50ml,平均30ml。3d拔管后尿失禁消失16例,2例患者术后出现腹股沟处疼痛或不适,1例患者出现膀胱过度活动症,对症治疗后缓解,无其他并发症出现。随访1～12个月,无一例复发。结论 TVT-O手术是治疗女性压力性尿失禁的一种较理想的手术方法,其并发症发生率低,且可防可治。 Objective To study the method and the results of the transobturator vaginal tape inside out（TVT-O）for the treatment of female stress incontinence （SUI）.Methods 16 patients with SUI were undergone TVT-O procedure.Results The average operating duration was 30 min （from 25 min to 45 min） and average blood loss was 30 ml （from 10 ml to 50 m1）.16 patients were cured after removal of catheters,and 2 patients felt pain on the thigh,and 1 case occurred overactive bladder.All patients were followed up from 1 to 12 months,and no incontinence recurred.Conclusion TVT-O was a reliable method for the treatment of SUI with less curable and preventable complications.
作者 刘晓忠 侯建全 魏雪栋
机构地区 苏州大学附属第一医院泌尿外科
出处 《海南医学》 CAS 2012年第9期72-74,共3页 Hainan Medical Journal
关键词 经闭孔无张力尿道悬吊术 压力性尿失禁 适应证 并发症及其处理 Stress incontinence TVT-O Stress urinary incontinence Indication Complications and treatment
分类号 R691.5 [医药卫生—泌尿科学]
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参考文献14

  • 1Wang W,Zhu L,Lang J.Transobturator tape procedure versus ten-sion-free vaginal tape for treatment of stress urinary incontinence[J]. IntJ Gyneacol Obstet,2009,104(2):113-116.
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  • 5张雪培,魏金星,文建国,王智勇,武玉东,韩前河,高建光,王瑞,乔保平.TVT-O治疗女性压力性尿失禁17例报告[J].临床泌尿外科杂志,2007,22(1):27-29. 被引量：21
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二级参考文献11

  • 1de Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out[J]. Eur Urol, 2003,44: 724.
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  • 8Costa P, Grise P, Droupy S,et al. Surgical Treatment of Female Stress Urinary Incontinence With a Trans Obturator-Tape (TOT) Uratape: Short Term Results of a Prospective Multicentric Study [J]. Eur Urol,2004,46: 102--107.
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  • 10Costa P A, Delmas V B. Trans-obturator-tape procedure-inside out or outside in: current concepts and evi- dence base[J]. Current Opinion in Urology, 2004, 14: 313--315.

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海南医学
2012年 第9期

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