经闭孔无张力阴道吊带术对女性压力性尿失禁的临床疗效及对焦虑情况的影响

Clinical effect of tension-free vaginal tape obturator on stress urinary incontinence of female patients and its effect on anxiety

目的探讨经闭孔无张力阴道吊带术(TVT-O)对女性压力性尿失禁的临床疗效及对焦虑情况的影响。方法选取我院2015年1月至2017年12月收治的女性压力性尿失禁患者80例,随机分为观察组和对照组,各40例。观察组患者给予TVT-O,对照组给予传统手术治疗。对比两组治疗效果、手术相关指标、生活质量评分及心理状态评分。结果观察组的治疗总有效率为97.50%,显著高于对照组的77.50%(P<0.05)。观察组患者手术时间、出血量、住院时间均优于对照组(P<0.05)。观察组的日常生活评分、活动评分、近期支持评分、健康评分、精神评分及总指数评分均优于对照组(P<0.05)。治疗后,两组患者的SDS和ADL评分均有一定程度改善,且观察组患者改善程度均优于对照组(P<0.05)。结论经TVT-O治疗女性压力性尿失禁的效果显著,有助于提高患者后期生活质量,值得在临床上推广。

Objective To explore the effect of tension-free vaginal tape obturator（TVT-O） on stress urinary incontinence of female patients and its effect on anxiety. Methods A total of 80 cases with pressure incontinence of female patients in our hospital from January 2015 to December 2017 were randomly divided into observation group and control group, with 40 cases in each group. The observation group was given TVT-O, while the control group was given conventional surgery. The therapeutic effects, surgical indicators, quality of life scores and the scores of psychology status in the two groups were compared. Results The total effective rate of treatment in the observation group was 97.50%, which was significantly higher than 77.50% in the control group （P〈O.05）. The operation time, blood loss and hospital stay in the observation group were better than those in the control group （P〈0.05）. The scores of daily life, activity, short-term support, health, mental and total indexes in the observation group were higher than those in the control group （P〈0.05）. After treatment, the scores of SDS and ADL in both group improved, and the degree of improvement of those in the observation group were better than the control group （P〈O.05）. Conclusion TVT-O in the treatment of female stress urinary incontinence has significant effect, which is helpful to improve the later life quality of patients, and it is worthy of promotion in clinic.