TVT-O治疗女性压力性尿失禁46例报告

Tension-free vaginal tape-obturator technique for female stress urinary incontinence:results of 46cases

目的：探讨经闭孔无张力尿道中段悬吊术（TVT一0）治疗女性压力性尿失禁（SUI）的临床效果。方法：2010年9月-2012年9月采用TVT-O治疗SUI患者46例。结果：手术时间20-40rain，平均26min，术中出血平均为20ml。48小时拔管后尿失禁消失46例，2例患者术后出现排尿困难，对症治疗后缓解，无其他并发症出现。随访2～18个月，无一例复发。33例患者术后6个月行尿流动力学检查，最大尿流率、剩余尿量评分差异无统计学意义（P〉0．05）。结论：采用TVT—O治疗SUI简单易行，操作安全，并发症发生率低，术后效果满意。

Objective： To investigate the effectiveness and safety of tension-free vaginal tape-obturator tech- nique（TVT-O ） for femal stress urinary incontinence. Methods：Forty-six cases with SUI underwent TVT-O proce- dure. Results：The mean operation time was 26 min （range 20-40 ） and average blood loss was 20 ml. Forty-six ca- ses were cured after removal of catheters and 2 cases felt difficulty in urination. Bladder micturition functions were restored after treatment and no other complications emerged on the patients. All patients were followed up from 2 to 18 months, and no patient recurred. Thirty-three patients underwent urodynamic examination after 6 months and there was no significant difference in PVR scores and Qmax levels （P〉0.05）. Conclusions.. TVT-O procedure is a safe and efficient surgical treatment for female SUI.