单切口可调节无张力尿道中段悬吊术治疗压力性尿失禁的疗效观察

Curative effect observation of adjustable single-incision sling in the treatment of stress urinary incontinence

目的了解阴道单切口可调节无张力尿道中段悬吊术(ASIS Ajust)治疗压力性尿失禁的疗效。方法 11例因压力性尿失禁接受ASIS Ajust手术治疗的患者,术后1、3、6个月时行门诊复查,之后每6个月行1次门诊或者电话随访。采用治愈率、手术并发症及尿失禁生活质量问卷(incontinence quality of life,I-QOL)、泌尿生殖道症状评估表(urogenital distress inventory,UDI-6)评价疗效。结果 ASIS Ajust术后6个月客观及主观治愈率98%,术后3 d1例尿潴留,3例排尿困难,无吊带侵蚀;术后I-QOL评分较术前显著提高,差异有统计学意义(P<0.05);UDI-6评分较术前显著降低,差异有统计学意义(P<0.05)。结论 ASIS Ajust治疗压力性尿失禁操作简便,安全有效,能显著改善患者生活质量。

Objective To estimate the curative effect of the adjustable single-incision sling （ASIS Ajust） in the treatment of stress urinary incontinence. Methods There were 11 cases with stress urinary incontinence received ASIS Ajust. They were in outpatient review at the 1st, 3rd, and 6th month after the surgery, and after that they received outpatient visit or telephone follow-up 1 time in 6 months. The curative effects were evaluated by cure rate, complications, incontinence quality of life （I-QOL） and urogenital distress inventory （UDI-6）. Results Objective and subjective cure rate at the 6th month after ASIS Ajust was 98%. There were 1 case of urinary retention and 3 cases of dysuresia and no condole belt erosion at the 3rd day after surgery. The I-QOL score was increased after surgery, compared with the score before surgery. The difference was statistically significant （P〈0.05）. The UDI-6 score was lower after surgery than that before surgery, and the difference had statistical significance （P〈0.05）. Conclusions ASIS Ajust in the treatment of stress urinary incontinence is easy for operation and safety. It can significantly improve patients＇ life quality.