无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床疗效分析

Clinical Analysis of Tension-Free Urethral Suspension and Mid-Urethral Suspension in the Treatment of Female Stress Urinary Incontinence

目的 分析无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床疗效。方法 选取该院2018年12月—2019年1月期间收治的40例女性压力性尿失禁患者,按"简单随机"法分为对照组(尿道中段悬吊带术)、观察组(无张力尿道悬吊改良术),每组20例。对比大腿内侧疼痛发生率、围术期参数指标。结果 观察组术后24 h、术后一周大腿内侧疼痛发生率分别为:30.00%、5.00%,明显低于对照组(70.00%、30.00%),差异有统计学意义(χ~2=4.011,4.037,P=0.027,0.006,P<0.05)。观察组手术时间、留置导尿管时间、术中出血量时间与住院时间与对照组相比,差异无统计学意义(t=0.000、0.129、0.658、0.479,P=1.000、0.898、0.515、0.635,P>0.05)。结论 无张力尿道悬吊无张力尿道悬吊术和中尿道悬吊术是治疗女性压力性尿失禁的有效方法,疗效相当。然而,无张力尿道悬吊术有助于改善患者术后短期内大腿内侧疼痛。

Objective To analyze the clinical effect of tension-free urethral suspension and mid-urethral suspension in the treatment of female stress urinary incontinence. Methods A total of 40 female stress urinary incontinence patients admitted to our hospital from December 2018 to January 2019 were divided into control group (mid-urethral suspension band operation) and observation group (tension-free urethral suspension improvement operation) according to "simple random" method, with 20 cases in each group. The incidence of medial thigh pain and perioperative parameters were compared. Results The incidence of medial thigh pain was 30.00 % in 24 hours and 5.00 % in one week after operation in the group, which was significantly lower than that in the control group (70.00% and 30.00%). The difference was statistically significant (χ^2=4.011,4.037,P=0.027, 0.006,P<0.05). The operation time of the observation group, the time of indwelling catheter, the time of intraoperative blood loss and the length of hospital stay were compared with the control group. The difference was not statistically significant(t=0.000, 0.129, 0.658, 0.479, P=1.000, 0.898, 0.515, 0.635,P>0.05). Conclusion Tension-free urethral suspension and mid-urethral suspension are effective treatments for female stress urinary incontinence, and the curative effect is comparable. However, tension-free urethral suspension is helpful to improve the short-term medial thigh pain of patients after operation.