摘要目的:总结阴道无张力尿道中段悬吊带术治疗女性压力性尿失禁(SUI)的手术方法及疗效。方法回顾性分析229例阴道无张力尿道中段悬吊带术治疗女性 SUI 患者的临床资料。结果治愈220例,9例改善。术中出血少,无脏器损伤。结论TVT -O 术式操作简单快捷,具有安全有效、微创、并发症少等优点,是治疗女性SUI安全有效的方法。
3Mellier G, Benayed B, Bretones S, et al. Suburethral tape via the obturator route:is the TOT a simplification of the TVT? [ J]. Int Urogynecol J Pelvic Floor Dysfunct,2004, 15:227-232.
4Martan A, Svabik K, Masata J, et al. Initial experience with a short, tension-free vaginal tape (the tension-free vaginal tape secur system)[J]. Enr J Obstet Gynecol Re- prod Biol,2009,143 : 121-125.
5Nilsson CG, Falconer C, Rezapour M. Seven-year follow- up of the tension-free vaginal tape procedure for treatment of urinary incontinence [ J ]. Obstet Gynecol, 2004, 104 : 1259-1262.
6Wahregny D. TVT-O for the treatment of female stress uri- nary incontinence:results of a prospective study after a 3- year minimum follow-up[ J]. Eur Urol,2008 ,53 :401-408.
7Laurikainen EH,Valpas A, Kiilholma P, et al. A prospec- tive randomized trial comparing TVT and TVT-O proce- dures for treatment of SUI:immediate outcome and com- plications [J]. Int Urogynecol J ,2006,17 : S104-S105.
8Debodinance P, Lagrange E, Amblard J, et al. TVT Secur: more and more minimally invasive, preliminary prospec- tive study of 110 cases [ J]. J Gynecol Obstet Biol Reprod ( Paris), 2008,37 : 229-236.
9Lee KS, Lee YS, Seo JT, et al. A prospective muhicenter randomized comparative study between the U-and H-type methods of the TVT SECUR procedure for the treatment of female stress urinary incontinence : 1-year follow-up [ J ]. Eur Urol,2010,57:973-979.
10Khandwala S, Jayachandran C, Sengstock D. Experience with TVT-SECUR sling for stress urinary incontinence:a 141-case analysis[J].Int Urogynecol J Pelvic Floor Dysfunct,2010,21:767-772.