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经阴道无张力性尿道中段悬吊术治疗女性压力性尿失禁10例分析 被引量：6

Tension free vaginal tape for surgical treatment of female stress urinary incontinence
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摘要 目的:探讨经阴道无张力性尿道中段悬吊术(TVT)在治疗女性压力性尿失禁中的意义。方法:10例患者,年龄45～58岁,平均48.4岁。临床表现为用力、咳嗽等时尿液不自主流出。病史4个月～15年。经详细地尿动力学检查证实为压力性尿失禁。行腹压漏尿点压(abdominal leak-point pressure,ALPP)测定,按照MeGuire的方法分型,ALPP>9.81 kPa(Ⅰ型)2例.ALPP 6.38～9.81 kPa(Ⅱ型)3例,ALPP<6.38 kPa(Ⅲ型)5例。结果:术后10例均无尿失禁,8例患者拔除导尿管当日即可顺利排尿,1例出现尿潴留,1例膀胱穿孔。结论:TVT手术安全易行,手术时间短,创伤小,患者康复快,治疗压力性尿失禁近期效果确切,远期疗效有待进一步研究。 Purpose:To investigate the significance of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Methods; 10 cases of stress incontinence aged 45 to 58 years (averaged 48.4 years). Urodynamics include abdominal leak-point pressure (ALPP) were measured in routine ways. Results; In 10 cases stress incontinence , ALPP>9. 81 kPa(Type I )2 cases, ALPP 6.38 - 9.81 kPa(TypeII)3 cases, ALPP<6. 38 kPa(Type III)5 cases. Ten cases were successfully cured. Urinary retention 1 cases, bladder injury 1 cases. Con-clusionS;Our results demonstrate that the TVT procedure is a safe and effective surgical method for treatment of female stress urinary incontinence.
作者 陈敏 肖传国 曾甫清 鲁功成
机构地区 华中科技大学同济医学院附属协和医院泌尿外科
出处 《临床泌尿外科杂志》 2003年第4期202-203,共2页 Journal of Clinical Urology
关键词 经阴道无张力性尿道中段悬吊术 治疗 女性 压力性尿失禁 Female stress urinary incontinence Tension free vaginal tape
分类号 R694.540.5 [医药卫生—泌尿科学]
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参考文献4

  • 1[1]Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunc, 1996, 7:81-85.
  • 2[2]McGuire E J, Cespedes R D, O′ Connell HE. Leakpoint pressure. Urol Chin North Amer, 1996, 23:253-262.
  • 3[3]Olsson I, Kroon U B. A three-year postoperative evaluation of tension-free vaginal tape. Gynecol Obstet Invest, 1999, 48:267-269.
  • 4[4]Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol, 1999, 106:345-350.

同被引文献19

  • 1张弋,樊伯珍,夏红,高阗,童晓文.TVT-O在女性压力性尿失禁中的运用[J].同济大学学报（医学版）,2005,26(1):73-74. 被引量：19
  • 2[1]Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence[J]. Int Urologynecol J Pelvic Floor Dysfunc, 1996,7(2) : 81.
  • 3[2]McGuire E J, Cespedes R D, O'Connell H E. Leakpoint pressure[J]. Urol Clin North Am, 1996,23 (2):253.
  • 4[3]Petros P, Ulmsten U. An integral theory and its method for the diagnose and management of female urinary incontinence[J]. Scand J Urol Nephrol, 1993,153 (suppl) : 7.
  • 5[4]Carlin B I,Klutke J J,Klutke C G. The tension-free vaginal tape procedure for the treatment of stress incontinence in the female patient[J]. Urology, 2000, 56 (6suppl1 ): 28.
  • 6UI msten U.An introduction of tension-free vaginal tape(TVT)-a new surgical proce dure for treat ment of femaleurinary incontinence[J].Int Urogynecoi J,2001,12(2):s3-s4.
  • 7Escribano-Patino G,Hernandez-Fernandez C,Subira-Rios D,et al.Female stress urinary incontinence.Surgical repair with pubovaginal sling techniques[J].Arch Esp Urol,2002,55(9):1 093-1 095.
  • 8Kobashi KC,Govier FE.Manage ment of vaginal erosion of dyp ropylene mesh slings[J].J Urol,2003,169(6):2 242-2 243.
  • 9Emmanuel D.Trans-obturatorsling:a minimal invasive procedure to treat female stress urinary incontinence[J].Progres en Urologie,2001,11(3):1 306-1 313.
  • 10Mcguire E J,Cespedes R D,O'Connell H E.Leak-point pressure[J].Urol Clin North Amer,1996,23:253.

引证文献6

二级引证文献10

临床泌尿外科杂志
2003年 第4期

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