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15例经闭孔无张力尿道中段吊带术治疗女性压力性尿失禁临床研究

Clinical investigation on TVT-O therapy for female stress urinary incontinence(SUI):a report of 15 cases
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摘要 目的研究经闭孔无张力尿道中段吊带术(TVT-O)治疗女性压力性尿失禁的临床疗效和意义。方法将15例女性压力性尿失禁病人进行TVT-O手术治疗,观察症状改善。结果 15例接受手术,随访12~18个月,手术时间20~38 min,平均28 min,出血量均<20 mL,术后24 h拔除导尿管,1例自觉会阴部不适,尿失禁症状明显改善14例,排尿困难1例,药物治疗后排尿正常。结论经闭孔无张力尿道中段吊带术治疗女性压力性尿失禁,疗效肯定,创口小,并发症少,安全可靠。 Objective To evaluate the clinical effect of TVT-O therapy for female stress urinary incontinence (SUI). Methods A total of 15 cases of female SUI received the TVT-O surgery and the improvement of their symptoms was evaluated. Results The duration of surgery was 20-38 min (average 28 min). Bleeding was less than 20 ml in average. The catheter was removed 24h post-operation. In follow-up for 12 to 18 months postoperative, there were 14 cases of obvious improvement of incontinence of urine, 1 case of discomfort of perineum and 1 case of dysuria which was recovered post pharmacotherapy. Conclusions TVT-O therapy for female SUI patients has definite curative effect and is safe and reliable.
作者 张锐 于书画
机构地区 黑龙江省医院
出处 《中国校医》 2012年第6期444-444,446,共2页 Chinese Journal of School Doctor
关键词 成年人 老年人 女性 尿失禁 压力性/外科手术 泌尿外科手术/方法 Adult Aged Female Urinary Incontinence, Stress/surgery Urologic Surgical Procedures/method
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参考文献9

  • 1Muscatello DJ, Rissel C, Szonyi G, et al. Urinary symptorrks andincontinence in an urban community: prevalence and associated factors in older men and women [ J ]. Intern Med J, 2001,31 (3) : 151 - 160.
  • 2Twiss C, Rodriguez LV. Female stress urinary incontinence where are we? [J]. J Urol,2008,179(5):1664- 1665.
  • 3Rogers RG. Clinical practice. Urinary stress incontinence in women [J]. N EOgl J Med,2008,358(10) :1029 - 1036.
  • 4Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence[J]. Int Urogynecol J Pevic Floor Dysfunct, 1996, 7 (2) :81 - 85.
  • 5王杭,王国民.女性压力性尿失禁和无张力阴道吊带术[J].临床泌尿外科杂志,2003,18(4):253-254. 被引量:11
  • 6梅骅,陈凌武,高新.泌尿外科手术学[M].北京:人民卫生出版社,2009:916.
  • 7Delancey JO. Structural support of the urethra as it relates to stress urinany incontinence: the harmnock hypothesis CJ ]. Am J Obstet Gynecol, 1994,170(6) : 1713 - 1720.
  • 8De Leval J. Novel surgical technique for the treatmeat of female stress urinany incontinence: transobturator vaginal tape inside-out [ J ]. Eur Urol, 2003,44(6) : 724 - 730.
  • 9Zullo MA, Plotti F, Caleagno M, et al. One-year Mlow-up of tens- ion-free vaginal tape(TVT)and trans-obturator suburethral tape from inside to outside(TVT- O)for surgical treatment of female stress urinary ineontitence:a prospective randomized trial [J ]. Eur Urol,2007,51(5) :1376 - 1382.

二级参考文献14

  • 1[1]Distler W. Urinary incontinence-taboo during postmenopause. Z Arztl Fortbild Qualitatssich, 2000,94: 211-215.
  • 2[2]Thom D. Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc, 1998,46: 473 - 480.
  • 3[3]Maral I, Ozkardes H, Peskircioglu L, et al. Prevalence of stress urinary incontinence in both sexes at or after age 15 years.: a cross-sectional study. J Urol, 2001,165:408-412.
  • 4[4]Benshushan A, Rojansky N. Stress incontinence-diagnosis and management. Harefush, 1998, 15: 626- 630.
  • 5[5]Leach G E, Dmochowski R R, Appell R A, et al. Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol, 1997, 158:875 -880.
  • 6[6]Klutke J J,Carlin B I, Klutke C G. The tension-free vaginal tape procedure: correction of stress incontinence with minimal alteration in proximal urethral mobility.Urology,2000,55: 512- 514.
  • 7[7]Cervigni M, Natale F. Surgical treatment of stress urinary incontinence. Fur J Obstet Gynecol Reprod Biol,1999,85:63-70.
  • 8[8]Klutke J, Klutke C. The promise of tension-free vaginal tape for female SUI. Contemporary Urol, 2000. 59-73.
  • 9[9]Rezapour M, Ulmsten U. Tension-free vaginal tape(TVT) in women with recurrent stress urinary incontinence a long-term follow up. Int Urogynecol J Pelvic Floor Dysfunct,2001,12: 9- 11.
  • 10[10]Rezapour M, Ulmsten U. Tension-free vaginal tape(TVT) in women with mixed urinary incontinence--a long-term follow-up. Int Urogynecol J Pelvic Floor Dysfunct,2001,12(Suppl): 15 - 18.

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