CAJ | 학술논문

目的评价经皮穿刺阴道壁悬吊术(VWS-PP)及无张力阴道吊带术(TVT)治疗女性压力性尿失禁(SUI)的疗效.方法女性SUI患者26例,其中行VWS-PP14例,TVT12例.术后6周、6个月及1年随访,以术后腹压增加有无尿溢出为疗效判断标准.结果 2组患者年龄,病程比较,差异无统计学意义(P＞0.05).VWS-PP组手术时间60～90 min,平均80 min;TVT组25～50min,平均35 min,2组比较差异有统计学意义(P＜0.01);2组治愈例数比较,差异无统计学意义(P＞0.05).结论 VWS-PP和TVT2种术式均为治疗女性SUI安全有效的微创手术,2者疗效相似,VWS-PP手术时间较长,但创伤小,能准确调整吊带之松紧度.
목적 평개경피천자음도벽현조술(VWS-PP)급무장력음도조대술(TVT)치료녀성압력성뇨실금(SUI)적료효.방법 녀성SUI환자26례,기중행VWS-PP14례,TVT12례.술후6주、6개월급1년수방,이술후복압증가유무뇨일출위료효판단표준.결과 2조환자년령,병정비교,차이무통계학의의(P＞0.05).VWS-PP조수술시간60～90 min,평균80 min;TVT조25～50min,평균35 min,2조비교차이유통계학의의(P＜0.01);2조치유례수비교,차이무통계학의의(P＞0.05).결론 VWS-PP화TVT2충술식균위치료녀성SUI안전유효적미창수술,2자료효상사,VWS-PP수술시간교장,단창상소,능준학조정조대지송긴도.
Objective To compare the therapeutic effect,advantages and disadvantages of 2 different methods on female stress urinary incontinence(SUI),vaginal wall suspension via percutaneous puncture(VWS-PP)and tension-free vaginal tape(TVT).Methods Fourteen SUI cases were treated by VWS-PP and 12 SUI cases were treated by TVT.The patients'age and course in 2 treatment groups were similar,and they were followed up 6 weeks,6 months and 1 year post-operatively.Therapeutic effect was evaluated by presence or absence of urinary incontinence when abdominal pressure increased.Meanwhile,operation time and complication were also compared.Results The therapeutic effect in VWS-PP group resembled as in TVT group,but the complication in VWS-PP was much less than that in TVT.The mean operation time of the VWS-PP group was 80 min(range from 60 to 90 min).while that of TVT group was 35 min(range from 25 to 50 min).The difference between 2 groups was statistically significant(P＜0.01).Conclusions The VWS-PP method is an effective,safe and mini-invasive operation for SUI.similar to TVT.Although the operation time in VWS-PP group is much longer than that in TVT group,the trauma is tinier and the surgeon can observe the anatomy reset by ultrasonic wave.