中华泌尿外科杂志
中華泌尿外科雜誌
중화비뇨외과잡지
CHINESE JOURNAL OF UROLOGY
2013年
9期
687-690
,共4页
方克伟%赵永先%何进%邱学德%郑倩%刘晋宏%李泽惠%李志鹏%李炯明
方剋偉%趙永先%何進%邱學德%鄭倩%劉晉宏%李澤惠%李誌鵬%李炯明
방극위%조영선%하진%구학덕%정천%류진굉%리택혜%리지붕%리형명
经闭孔尿道中段无张力悬吊术%尿失禁,压力性%局部麻醉
經閉孔尿道中段無張力懸弔術%尿失禁,壓力性%跼部痳醉
경폐공뇨도중단무장력현조술%뇨실금,압력성%국부마취
Modified tension free vaginal tape ABBREVO%Urinary incontinence,stress%Local anesthesia
目的 探讨局麻下改良经闭孔阴道无张力尿道中段悬吊术(modified tension-free vaginal tape ABBREVO,TVT-A)治疗女性压力性尿失禁(SUI)的安全性及近期疗效. 方法 选取2012年10月至12月收治的女性SUI患者16例,年龄39～89岁,平均62岁,均为中、重度SUI；局麻下行TVT-A手术,观察患者手术时间、术中出血量、留置尿管时间、住院时间、术后并发症发生率、尿失禁控制情况、手术前后生活质量的改善情况等. 结果 16例手术顺利,手术时间(20.6±3.3) min,术中出血量(35.1±5.5) ml,留置尿管时间(1.6±0.5)d,术后住院时间(2.6±1.1)d,16例均治愈,除1例有轻度右腿疼痛外无其他并发症.随访6～9个月,平均7个月,患者腹压增加时均无尿失禁；I-QOL问卷生活质量评分明显改善. 结论 局麻下TVT-A术治疗女性SUI安全,近期疗效确切.
目的 探討跼痳下改良經閉孔陰道無張力尿道中段懸弔術(modified tension-free vaginal tape ABBREVO,TVT-A)治療女性壓力性尿失禁(SUI)的安全性及近期療效. 方法 選取2012年10月至12月收治的女性SUI患者16例,年齡39～89歲,平均62歲,均為中、重度SUI；跼痳下行TVT-A手術,觀察患者手術時間、術中齣血量、留置尿管時間、住院時間、術後併髮癥髮生率、尿失禁控製情況、手術前後生活質量的改善情況等. 結果 16例手術順利,手術時間(20.6±3.3) min,術中齣血量(35.1±5.5) ml,留置尿管時間(1.6±0.5)d,術後住院時間(2.6±1.1)d,16例均治愈,除1例有輕度右腿疼痛外無其他併髮癥.隨訪6～9箇月,平均7箇月,患者腹壓增加時均無尿失禁；I-QOL問捲生活質量評分明顯改善. 結論 跼痳下TVT-A術治療女性SUI安全,近期療效確切.
목적 탐토국마하개량경폐공음도무장력뇨도중단현조술(modified tension-free vaginal tape ABBREVO,TVT-A)치료녀성압력성뇨실금(SUI)적안전성급근기료효. 방법 선취2012년10월지12월수치적녀성SUI환자16례,년령39～89세,평균62세,균위중、중도SUI；국마하행TVT-A수술,관찰환자수술시간、술중출혈량、류치뇨관시간、주원시간、술후병발증발생솔、뇨실금공제정황、수술전후생활질량적개선정황등. 결과 16례수술순리,수술시간(20.6±3.3) min,술중출혈량(35.1±5.5) ml,류치뇨관시간(1.6±0.5)d,술후주원시간(2.6±1.1)d,16례균치유,제1례유경도우퇴동통외무기타병발증.수방6～9개월,평균7개월,환자복압증가시균무뇨실금；I-QOL문권생활질량평분명현개선. 결론 국마하TVT-A술치료녀성SUI안전,근기료효학절.
Objective To assess the safety and short-term efficacy of modified tension free vaginal tape ABBREVO (TVT-A) under local anesthesia in treatment of female stress urinary incontinence (SUI).Methods From Oct 2012 to Dec 2012,16 cases suffered from SUI were treated with TVT-A under local anesthesia.The average age was 62 (39-89) years and the symptom of SUI was moderate or severe.Operation time,indwelling catheter time,blood loss,postoperative complications,effects and quality of life were evaluated.Results All the patients were treated successfully under local anesthesia.The operative time was (20.6t3.3) rin,volume of blood loss was (35.1±5.5) ml,indwelling catheter time was (1.6±0.5) d,post-operative hospital stay was (2.6± 1.1) d.No failure was detected post-operatively and the patients' quality of life improved evaluating by incontinence quality of life (I-QOL) after the operation.Conclusion TVT-A is a safe and effective surgical procedure for the treatment of female SUI under local anesthesia.
