CAJ | 학술논문

目的：了解阴道单切口可调节无张力尿道中段悬吊术(ASIS Ajust)治疗压力性尿失禁的疗效。方法11例因压力性尿失禁接受ASIS Ajust手术治疗的患者,术后1、3、6个月时行门诊复查,之后每6个月行1次门诊或者电话随访。采用治愈率、手术并发症及尿失禁生活质量问卷(incontinence quality of life, I-QOL)、泌尿生殖道症状评估表(urogenital distress inventory, UDI-6)评价疗效。结果ASIS Ajust术后6个月客观及主观治愈率98%,术后3 d1例尿潴留,3例排尿困难,无吊带侵蚀；术后I-QOL评分较术前显著提高,差异有统计学意义(P<0.05)；UDI-6评分较术前显著降低,差异有统计学意义(P<0.05)。结论ASIS Ajust治疗压力性尿失禁操作简便,安全有效,能显著改善患者生活质量。
목적：료해음도단절구가조절무장력뇨도중단현조술(ASIS Ajust)치료압력성뇨실금적료효。방법11례인압력성뇨실금접수ASIS Ajust수술치료적환자,술후1、3、6개월시행문진복사,지후매6개월행1차문진혹자전화수방。채용치유솔、수술병발증급뇨실금생활질량문권(incontinence quality of life, I-QOL)、비뇨생식도증상평고표(urogenital distress inventory, UDI-6)평개료효。결과ASIS Ajust술후6개월객관급주관치유솔98%,술후3 d1례뇨저류,3례배뇨곤난,무조대침식；술후I-QOL평분교술전현저제고,차이유통계학의의(P<0.05)；UDI-6평분교술전현저강저,차이유통계학의의(P<0.05)。결론ASIS Ajust치료압력성뇨실금조작간편,안전유효,능현저개선환자생활질량。
Objective To estimate the curative effect of the adjustable single-incision sling (ASIS Ajust) in the treatment of stress urinary incontinence.Methods There were 11 cases with stress urinary incontinence received ASIS Ajust. They were in outpatient review at the 1st, 3rd, and 6th month after the surgery, and after that they received outpatient visit or telephone follow-up 1 time in 6 months. The curative effects were evaluated by cure rate, complications, incontinence quality of life (I-QOL) and urogenital distress inventory (UDI-6).Results Objective and subjective cure rate at the 6th month after ASIS Ajust was 98%. There were 1 case of urinary retention and 3 cases of dysuresia and no condole belt erosion at the 3rd day after surgery. The I-QOL score was increased after surgery, compared with the score before surgery. The difference was statistically significant (P<0.05). The UDI-6 score was lower after surgery than that before surgery, and the difference had statistical significance (P<0.05).Conclusions ASIS Ajust in the treatment of stress urinary incontinence is easy for operation and safety. It can significantly improve patients’ life quality.