经闭孔Monarc悬吊术治疗女性压力性尿失禁的临床研究

A clinical study of transobturator Monarc tape in the treatment of female stress urinary incontinence

目的探讨经闭孔Monarc悬吊术治疗女性压力性尿失禁(SUI)的疗效和安全性。方法 2008年10月～2010年09月,应用Monarc悬吊术治疗女性SUI,收集患者的一般情况、围手术期及随访资料,评估其临床疗效和并发症。结果共74例女性SUI参与这项研究,年龄36～79岁,病程4～25年,分娩1～6次。手术均成功,时间17～23min,失血量35～105mL。术中阴道损伤3例,无膀胱尿道损伤。新发排尿困难3例、尿急3例、大腿根部疼痛2例,经采取相应处理后均消退。术后70例治愈,3例改善,1例失败。随访2～4年,在6周、6、12和24月时治愈率分别为94.6%、93.2%、91.9%和91.9%(P>0.05)。结论经闭孔Monarc悬吊术治疗女性SUI手术安全,并发症少,效果良好。

Objective To evaluate the efficacy and safety of transobturator Monarc tension-free tape for the treatment of female stress urinary incontinence （SUI）. Methods The clinical data of SUI cases treated with Monarc procedure during Oct. 2008 to Sept. 2010 were analyzed, including general condition, operative procedures, cure rate and complications. Results 74 cases were selected, who aged 36～79 years, delivered 1~6 times and had a disease course of 4～25 years. All op- erations were successful, with the operation time being 17～23 min, and blood loss 35～ 105 mL. No bladder or urethra injuries were found. 3 cases of dysuresia, 3 cases of urgent urination, and 2 cases of thigh pain occurred, and the symptoms were re- lieved after management. During the follow-up of 24 years, 70 cases were cured, 3 cases improved and 1 case failed. 6 weeks, 6, 12 and 24 months after the operation, the cure rate was 94.6%, 93.2%, 91.9% and 91.9%, respectively （P〉 0.05）. Conclusions Transobturator Monarc tape is safe and effective for the treatment of female SUI, with few complica- tions and satisfactory results.