中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
8期
74-75
,共2页
尿失禁%压力性%无张力阴道吊带术%TVT-O
尿失禁%壓力性%無張力陰道弔帶術%TVT-O
뇨실금%압력성%무장력음도조대술%TVT-O
Stress urinary incontinence%Tension-free vaginal tape%TVT-O
目的 探讨经闭孔无张力尿道中段悬吊术(transobturator vaginal tape inside-out,TVT-O)治疗女性压力性尿失禁(stress urinary incontinence,SUI)的初步疗效和手术安全性.方法 对压力性尿失禁患者21例行改良TVT-O术,并对手术效果和并发症进行初步的随访研究.结果 平均手术时间30min,平均出血量35 m1,平均住院天数5.2 d.术后尿失禁症状均得到控制或减轻,1例患者出血局部血肿,经保守治疗后好转,随访6～12个月无复发.结论 改良TVT-O术治疗女性压力性尿失禁疗效确切,具有手术时间短、创伤小、不损伤膀胱、费用低等优点.
目的 探討經閉孔無張力尿道中段懸弔術(transobturator vaginal tape inside-out,TVT-O)治療女性壓力性尿失禁(stress urinary incontinence,SUI)的初步療效和手術安全性.方法 對壓力性尿失禁患者21例行改良TVT-O術,併對手術效果和併髮癥進行初步的隨訪研究.結果 平均手術時間30min,平均齣血量35 m1,平均住院天數5.2 d.術後尿失禁癥狀均得到控製或減輕,1例患者齣血跼部血腫,經保守治療後好轉,隨訪6～12箇月無複髮.結論 改良TVT-O術治療女性壓力性尿失禁療效確切,具有手術時間短、創傷小、不損傷膀胱、費用低等優點.
목적 탐토경폐공무장력뇨도중단현조술(transobturator vaginal tape inside-out,TVT-O)치료녀성압력성뇨실금(stress urinary incontinence,SUI)적초보료효화수술안전성.방법 대압력성뇨실금환자21례행개량TVT-O술,병대수술효과화병발증진행초보적수방연구.결과 평균수술시간30min,평균출혈량35 m1,평균주원천수5.2 d.술후뇨실금증상균득도공제혹감경,1례환자출혈국부혈종,경보수치료후호전,수방6～12개월무복발.결론 개량TVT-O술치료녀성압력성뇨실금료효학절,구유수술시간단、창상소、불손상방광、비용저등우점.
Objective To present the primary clinical results of tension-free vaginal tape for surgical treatment of female stress urinary incontinence. Methods A prospective open study using a standardized protocol for pre-and post-operative evaluation. 21 cases consecutive women participated in the study. All suffered from genuine stress incontinence or mixed urinary incontinence. A prolene tape around mid-urethra was implanted via a minimal vaginal incision. The procedure is carried out under epidural anesthesia or local anesthesia. Results The mean operation time 30 min,average blood loss was 35 ml,mean postoperative stay duration were 5.2 days (range 4-9). 95.9% of the women with genuine stress incontinence were cured and another 4.1% significantly improved. 1 case of hematoma observed and cured with conservative treatment. Followed up for 6 to 12 months without recurrence. Conclusion The modified TVT-O surgical treatment of female stress urinary incontinence is effective, with shorter operative time,less invasive, and low cost.
