CAJ | 학술논문

目的评价T-consling吊带治疗女性压力性尿失禁(stress urinary incontinence,SUI)的疗效. 方法 2010年5月至2011年9月我院收治女性SUI患者9例,年龄45 ～ 63岁,平均51岁.病程1～5年,术前尿动力学检查诊断为单纯性SUI,腹腔漏尿点压为75 ～103 cm H2O(1 cm H2O=0.098 kPa),平均87 cm H2O,无明显阴道前壁膨出等盆腔脏器脱垂表现.均在硬膜外麻醉下行经阴道前壁切口T-consling吊带尿道中段悬吊术. 结果 9例手术均顺利完成,手术时间15 ～ 25 min,平均17 min;术中出血量5～30 ml.术后3～4d拔除导尿管.术后随访1～17个月,平均9个月.8例尿失禁症状基本缓解,咳嗽等腹压增加时无明显漏尿发生；1例改善,腹部加压时仍有漏尿发生,但较术前明显好转.总的早期治愈率为89％. 结论 T-consling吊带治疗SUI安全、操作简单易行,近期疗效好.
목적 평개T-consling조대치료녀성압력성뇨실금(stress urinary incontinence,SUI)적료효. 방법 2010년5월지2011년9월아원수치녀성SUI환자9례,년령45 ～ 63세,평균51세.병정1～5년,술전뇨동역학검사진단위단순성SUI,복강루뇨점압위75 ～103 cm H2O(1 cm H2O=0.098 kPa),평균87 cm H2O,무명현음도전벽팽출등분강장기탈수표현.균재경막외마취하행경음도전벽절구T-consling조대뇨도중단현조술. 결과 9례수술균순리완성,수술시간15 ～ 25 min,평균17 min;술중출혈량5～30 ml.술후3～4d발제도뇨관.술후수방1～17개월,평균9개월.8례뇨실금증상기본완해,해수등복압증가시무명현루뇨발생；1례개선,복부가압시잉유루뇨발생,단교술전명현호전.총적조기치유솔위89％. 결론 T-consling조대치료SUI안전、조작간단역행,근기료효호.
Objective To evaluate the curative effect of stress urinary incontinence (SUI) with Tconsling suspension surgery. Methods From May 2010 to September 2011,we treated 9 cases SUI with T-consling suspension surgery.The average age was 51 years (range 45 -63 years).They all suffered from stress incontinence 1 -5 years. Urodynamic test were performed preoperatively and stress urinary incontinence was confirmed.Abdominal leak point pressures is between 75 - 103 cm H2O (average 87 cm H2O),and no obvious cystocele vaginalis and others pelvic organ prolapsed disease were detected.Operation was done by transvaginal front wall incision to place T-consling suspension tape beneath the middle urethra.Results Operation time were between 15 to 25 mins,with 17 minutes on average.EBL was 5 - 30 ml.Urinary catheters were drawn 3 -4 d postoperatively.In 9 cases,8 were cured,one improved.The improved case had leakage when abdominal pressure increases,but became less significant,and the other cases had no leakage when abdominal pressure increases.The short-term cure rate was 89％. Conclusions The Tconsling suspension is safe,effective and easy to perform for the treatment of SUI,however,longer follow-up and more cases are necessary to confirm the long-term effects of this procedure.