CAJ | 학술논문

回顾性分析254例女性压力性尿失禁(SUI)患者行经闭孔无张力阴道吊带术(TVT-O)或经耻骨后无张力阴道吊带术(TVT)的疗效.结果显示TVT-O组与TVT组相比,手术时间明显缩短[(19±4)min,(27±6)min;P＜0.01]、并发症明显减少(2.9%,8.8%;P＜0.01);术中出血[(19±6)ml,(31±8)ml]、住院时间[(4.1±1.5)d,(4.5±1.8)d]、Grouts-Blaivas评分法评定的术后24 h(93.6%,91.2%)和末次随访治愈率(94.5%,94.3%)差异无统计学意义(P＞0.05).提示两种方法均为治疗女性SUI的有效方法,但TVT-O并发症明显减少.
회고성분석254례녀성압력성뇨실금(SUI)환자행경폐공무장력음도조대술(TVT-O)혹경치골후무장력음도조대술(TVT)적료효.결과현시TVT-O조여TVT조상비,수술시간명현축단[(19±4)min,(27±6)min;P＜0.01]、병발증명현감소(2.9%,8.8%;P＜0.01);술중출혈[(19±6)ml,(31±8)ml]、주원시간[(4.1±1.5)d,(4.5±1.8)d]、Grouts-Blaivas평분법평정적술후24 h(93.6%,91.2%)화말차수방치유솔(94.5%,94.3%)차이무통계학의의(P＞0.05).제시량충방법균위치료녀성SUI적유효방법,단TVT-O병발증명현감소.
This study was to retrospectively report the clinical effects of retropublic passage tension free vaginal tape(TVT)vs.transobturator tape(TVT-O)on 254 female patients with stress urinary incontinence(SUI).Our findings showed that mean operative time was significantly lower in TVT-O group than that in TVT group[(19±4)min vs.(27±6)min;P＜0.05].Perioperative complications were more commonly seen in the retropubic procedure(2.9% vs.8.8%;P＜0.01).There was no significant difference in intraoperative blood loss[(19±6)ml vs.(31±8)ml in TVT-O or TVT groups;P＞0.05]and in-hospital stay[(4.1±1.5)d vs.(4.5±1.8)d in TVT-O or TvT groups;P＞0.05]between the two groups.Grouts-Blaivas Score demonstrated that those two treatment groups did not differ significantly in 24-hour(93.6% vs.91.2%;P＞0.05)or long-term postoperative cure rate(94.5% vs.94.3%;P＞0.05).We suggested that TVT or TVT-O seemed to be equally effective in surgical treatment of SUI.However,TVT-O had advantage of relatively lower overall perioperative complication rate.