经阴道尿道膀胱颈筋膜褥式缝合术和TVT-O手术治疗老年女性压力性尿失禁的疗效分析

THE EFFECT ANALYSIS OF TRANSVAGINAL RESECTION OF BLADDER NECK FASCIAL MATTRESS SUTURE AND TVT-O FOR THE TREATMENT OF STRESS URINARY INCONTINENCE

目的:评价经阴道尿道膀胱颈筋膜褥式缝合术和无张力网状阴道悬吊术-经闭孔系统(Tension FreeVaginal Tape Obturator Technique,TVT-O)治疗压力性尿失禁(stress urinary incontinence,SUI)的临床疗效。方法:回顾性分析30例采用经阴道尿道膀胱颈筋膜褥式缝合术治疗SUI病人和42例采用TVT-O治疗SUI病人的临床资料。结果:与经阴道尿道膀胱颈筋膜褥式缝合术相比,TVT-O治疗SUI住院时间短,疗效显著,手术治愈率高,复发率低,且具有统计学意义(P>0.05)。结论:TVT治疗SUI疗效可靠,手术创伤更小。

Objective： Evaluating the clinical effect of transvaginal resection of bladder neck fascial mattress suture and TVT O operation in the treatment of stress urinary incontinence. Methods： Retrospective analysis of the clinical data of 30 cases with SU1 given the transvaginal resection of bladder neck fascial mattress suture patients and 42 patients received TVT-O. Results：The effect of patients with stress urinary incontinence treated by TVT-O is obvious, and postoperative complication rate is low. Conclusion ：patients with stress urinary incontinence treated by TVT-O has the advantages of simple operation, small operation wound, reliable curative effect.