CAJ | 학술논문

目的：观察经闭孔经阴道无张力尿道中段悬吊术（ TVT-O）治疗女性混合性尿失禁的疗效。方法2009年10月～2012年10月，对80例经临床、尿动力学检查确诊的女性混合性尿失禁行经闭孔经阴道尿道中段悬吊术，均为压力性失禁合并急迫性尿失禁，并且急迫性尿失禁的原因为无抑制性过早排尿反射或尿道松弛。结果术中术后均无明显并发症发生。术后随访1～12个月，平均10．6月。治愈68例（85％）[24 h尿垫试验＜10 g，生活质量（quality of life，QOL）评分增加＞90％]，改善3例（4％）（咳嗽应力试验无尿液漏出，QOL增加75％～90％），失败9例（11％）。结论 TVT-O是治疗女性混合性尿失禁的有效方法。应根据尿动力学检查选择合适的患者。
목적：관찰경폐공경음도무장력뇨도중단현조술（ TVT-O）치료녀성혼합성뇨실금적료효。방법2009년10월～2012년10월，대80례경림상、뇨동역학검사학진적녀성혼합성뇨실금행경폐공경음도뇨도중단현조술，균위압력성실금합병급박성뇨실금，병차급박성뇨실금적원인위무억제성과조배뇨반사혹뇨도송이。결과술중술후균무명현병발증발생。술후수방1～12개월，평균10．6월。치유68례（85％）[24 h뇨점시험＜10 g，생활질량（quality of life，QOL）평분증가＞90％]，개선3례（4％）（해수응력시험무뇨액루출，QOL증가75％～90％），실패9례（11％）。결론 TVT-O시치료녀성혼합성뇨실금적유효방법。응근거뇨동역학검사선택합괄적환자。
Objective To evaluate the effects of transobturator tension-free vaginal tapes ( TVT-O) for the treatment of female mixed urinary incontinence ( MUI) . Methods A total of 80 female patients with MUI who were treated with TVT-O in our hospital from October 2009 to October 2012 were enrolled in this study .All the patients had been suffering from urge incontinence , which was caused by urethral relaxation and/or premature micturition reflex.All the patients underwent comprehensive pre-, intra-, and postoperative evaluations , including collection of demographic information , pelvic examinations , and urodynamic testing .Operation-related complications were recorded . Results The patients were followed up postoperatively from 1 to 12 months, with no complications observed.The numbers of completely cured patients (24-h pad test <10 g, and incremental QOL scores >90%), symptom improved patients ( no urinary leakage on cough stress test , and incremental QOL scores 75%-90%) , and symptom unimproved patients were 68 (85%), 3(4%), and 9 (11%), respectively. Conclusions TVT-O is safe and effective in MUI patients.Appropriate patient selection with urodynamic evaluation is crucial for the success of this procedure .