延迟可吸收吊带与永久非吸收吊带治疗压力性尿失禁的治疗效果比较

Comparison of efficacy between delayed absorbable sling and permanent non- absorbing lanyards in a treatment of female stress urinary incontinence

目的比较延迟可吸收吊带与永久非吸收吊带治疗女性压力性尿失禁（SUI）的临床疗效。方法选择52例女性SUI患者,随机分为研究组和对照组（各26例）,前者采用延迟可吸收吊带治疗,后者采用永久非吸收吊带治疗,比较手术治疗效果。在术后6~12个月采用尿失禁影响程度相关问卷（IIQ-7）和泌尿生殖道疾病相关问卷（UDI-6）评价手术疗效,并观察手术并发症。结果研究组和对照组在手术情况数据上没有统计学差异,这些数据包括手术后留置导尿管的时间、手术时间、手术后出血量、所需住院时间和术中出血量。研究组术后IIQ-7与UDI-6评分均显著低于对照组（P〈0.01）。研究组并发症发生率（15.4%）显著低于对照组（34.6%）（P〈0.05）。结论延迟可吸收吊带治疗方法对女性压力尿失禁比非吸收永久吊带治疗方法有着较更的治疗效果和更少的并发症,值得临床应用。

Objective To investigate the comparison of the efficacy between delayed absorbable sling and permanent non- absorbing lanyards in a treatment of female stress urinary incontinence（ SUI）. Methods 52 cases of female SUI patients were collected and divided into the study group and the control group（ 26 cases each）. The former used a delay absorbing lanyards treatment,and the latter used a permanent non-absorbing lanyards treatment. Surgical treatment was compared and after 6 to 12 months. The impact associated with urinary incontinence questionnaire（ IIQ- 7） and genitourinary tract disease questionnaire（ UDI- 6） were used to evaluate the surgical treatment,and complications were observed. Results Operative time,blood loss,postoperative indwelling catheter time,postoperative residual urine volume,hospital stay had no significant difference in the two groups. IIQ- 7 and UDI- 6 scores were significantly lower in study group than the control group（ P 〈 0. 01）. The incidence of complications in the study group（ 15. 4%） was significantly lower than the control group（ 34. 6%）（ P 〈 0. 05）. Conclusion Delayed absorbable sling had a better therapeutic effect,fewer complications in treatment of female stress urinary incontinence than the permanent non- absorbing lanyards,which is worthy of promotion.