CAJ | 학술논문

目的：探讨TVT-O术后主要并发症的发生原因并寻找预防及治疗方法。方法回顾分析应用TVT-O治疗女性压力性尿失禁患者术后主要并发症及治疗经过。结果32例患者手术顺利，手术时间12～20 min，平均15．5 min；术中出血量5～35 mL，平均15 mL。术后随访6～24个月，平均14．2个月。32例患者均无漏尿，痊愈率100％。2例出现排尿困难（6．3％），经延长导尿管留置时间5～7 d恢复正常排尿。2例（6．3％）出现腹股沟疼痛，经对症治疗1周后恢复正常。结论 TVT-O是治疗女性尿失禁安全有效的方法。
목적：탐토TVT-O술후주요병발증적발생원인병심조예방급치료방법。방법회고분석응용TVT-O치료녀성압력성뇨실금환자술후주요병발증급치료경과。결과32례환자수술순리，수술시간12～20 min，평균15．5 min；술중출혈량5～35 mL，평균15 mL。술후수방6～24개월，평균14．2개월。32례환자균무루뇨，전유솔100％。2례출현배뇨곤난（6．3％），경연장도뇨관류치시간5～7 d회복정상배뇨。2례（6．3％）출현복고구동통，경대증치료1주후회복정상。결론 TVT-O시치료녀성뇨실금안전유효적방법。
Objective To explore the reasons for the complications after TVT-O and find a way to reduce and treat them.Methods The data of 32 patients with female stress urinary incontinence underwent TVT-O were reviewed.Results Surgeries were successful in all 32 cases.The operation time was from 12 to 20 min,with an average of 15.5 min.The loss in surgery was from 5 to 35 ml,with an average of 15ml.All patients were followed up from 6 to 24 months,with an average of 14.2 months.All patients were cured,and the cure rate was 100%.Two postoperative patients of 32(6.3%)had dysuria or retention and were cured by urethral dilation.Two patients (6.3%)had groin pain postoperatively and were cured in a week.Conclusion TVT-O is a safe and effective procedure for the treatment of female SUI,and sur-gical detail is the key to reduce postoperative complications.