改良经闭孔无张力尿道中段悬吊带术联合经尿道膀胱颈内切术治疗女性压力性尿失禁合并膀胱颈梗阻的效果

Effect of modified tension-free vaginal tape-obturator combined with transurethral resection of bladder neck in the treatment of female stress urinary incontinence and bladder neck obstruction

目的分析改良经闭孔无张力尿道中段悬吊带术(TVT-O)联合经尿道膀胱颈内切术治疗女性压力性尿失禁合并膀胱颈梗阻的效果。方法将我院2015年3月至2020年3月收治的70例女性压力性尿失禁合并膀胱颈梗阻患者依照随机数字表法分为对照组(35例)与研究组(35例)。对照组给予传统TVT-O联合传统膀胱颈内切开术,研究组行改良TVT-O联合经尿道膀胱颈内切术治疗。比较两组患者的治疗效果。结果研究组手术时间、尿管留置时间、住院时间均短于对照组,术中出血量少于对照组(P<0.05)。研究组的并发症总发生率低于对照组,治疗总有效率高于对照组(P<0.05)。结论压力性尿失禁合并膀胱颈梗阻患者采用改良TVT-O联合经尿道膀胱颈内切术的效果确切,值得临床推广应用。

Objective To analyze the effect of modified tension-free vaginal tape-obturator(TVT-O)combined with transurethral resection of bladder neck in the treatment of female stress urinary incontinence and bladder neck obstruction.Methods From March 2015 to March 2020,70 female patients with stress urinary incontinence complicated with bladder neck obstruction admitted in our hospital were divided into control group(35 cases)and study group(35 cases)according to the random number table method.The control group was given traditional TVT-O combined with traditional bladder neck incision,and the study group were treated with modified TVT-O combined with transurethral resection of bladder neck.The treatment effects of the two groups were compared.Results The operation time,indwelling time of catheter and hospitalization time in the study group were shorter than those in the control group,and the intraoperative blood loss was less than that in the control group(P<0.05).The total incidence of complications in the study group was lower than that of the control group,the total effective rate of treatment was higher than that of the control group(P<0.05).Conclusion The modified TVT-O combined with transurethral resection of bladder neck applied in patients with stress urinary incontinence and bladder neck obstruction has a exact effect,which is worthy of clinical promotion and application.