CAJ | 학술논문

　　目的分析经闭孔无张力尿道悬吊术（TVT-O）治疗女性压力性尿失禁（SUI）的临床方法和效果。方法采用TVT-O治疗45例SUI患者，观察手术效果及安全性。结果手术时间20～50min，平均30min，术中出血5～50mL，平均25mL。拔管后尿失禁消失40例，术后2例出现排尿困难。3例患者出现膀胱过度活动症，无其他并发症出现。随访6～12个月，无1例复发。结论 TVT-O操作简单、效果可靠、并发症少，是治疗女性压力性尿失禁的首选手术方法。
　　목적분석경폐공무장력뇨도현조술（TVT-O）치료녀성압력성뇨실금（SUI）적림상방법화효과。방법채용TVT-O치료45례SUI환자，관찰수술효과급안전성。결과수술시간20～50min，평균30min，술중출혈5～50mL，평균25mL。발관후뇨실금소실40례，술후2례출현배뇨곤난。3례환자출현방광과도활동증，무기타병발증출현。수방6～12개월，무1례복발。결론 TVT-O조작간단、효과가고、병발증소，시치료녀성압력성뇨실금적수선수술방법。
Objective To study the method and efficacy of tension-free vaginal tape obturator (TVT-O)for the treatment of female stress incontinence (SUI).Methods 45 patients with SUI were undergone TVT-O procedure.The safety and efficacy of surgery were observed. Results The average operating duration was 30 min (from 25 min to 50 min) and average blood loss was 25 mL (from 5 mL to 50 m1).40 patients were cured after removal of catheters, and 2 patient occurred dysuresia, and 3 cases occurred overactive bladder. All patients were followed up from 6 to 12 months, and no incontinence recurred. Conclusion TVT-O was simple and reliable method for the treatment of SUI with less complications.It is the preferred method of treatment for treating SUI.