摘要
目的探讨改良经闭孔尿道中段无张力悬吊术(TVT-O)治疗女性压力性尿失禁的临床效果。方法回顾性分析运用改良TVT-O治疗38例女性压力性尿失禁患者的一般情况、手术时间、出血量、并发症、住院时间及中短期疗效。结果患者平均手术时间、术中出血和住院时间分别(32.2±1.7)min、(20.5±2.8)ml和(3.5±0.7)d,术后患者尿失禁症状消失。无膀胱穿孔、耻骨后血肿及切口感染等并发症发生。总体短期有效率为97.4%,1年后有效率为94.7%。结论TVT-O治疗女性压力性尿失禁中短期疗效良好,手术安全性高、操作简单易学。
Objective To assess the curative effect of tension-free vaginal tape-obdurate technique (TVT-O) on women with stress urinary incontinence. Methods We retrospectively analyzed general conditions, time consumed during operation, amount of bleeding, complications, days of hospital stay, and short-term curative effect of 38 cases of female patients with stress incontinence treated with the improved TVT-O from July 2006 to March 2010. Results All operations were performed under local anesthesia. The average length of time consumed during operation was 32.2 ± 1.7 min, the amount of blood loss was 20. 5 ± 2.8 ml, and the average hospital stay was 3. 5 ± 0.7 d. No severe complications such as bladder perforation, hematoma, or incision infection occurred, and incontinence symptoms in all patients disappeared after operation. Conclusion TVT-O is a good, safe, and convenient operation for women with stress urinary incontinence.
出处
《中国生育健康杂志》
2013年第3期189-190,194,共3页
Chinese Journal of Reproductive Health
关键词
压力性尿失禁
经闭孔尿道中段无张力悬吊术
治疗
Stress urinary incontinence
Tension-free vaginal tape-obdurate technique
Surgical therapy