现代泌尿外科杂志
現代泌尿外科雜誌
현대비뇨외과잡지
Journal of Modern Urology
2015年
9期
623-627
,共5页
范博涵%张鹏%武治津%张朝华%张小东
範博涵%張鵬%武治津%張朝華%張小東
범박함%장붕%무치진%장조화%장소동
女性压力性尿失禁%单切口经阴道无张力尿道中段吊带术%经闭孔无张力尿道中段悬吊术%经阴道前壁尿道悬吊系统
女性壓力性尿失禁%單切口經陰道無張力尿道中段弔帶術%經閉孔無張力尿道中段懸弔術%經陰道前壁尿道懸弔繫統
녀성압력성뇨실금%단절구경음도무장력뇨도중단조대술%경폐공무장력뇨도중단현조술%경음도전벽뇨도현조계통
stress urinary incontinence%transobturator sling%single incision sling%TVT-Secure%TVT-O
目的:比较经阴道、经闭孔无张力尿道中段悬吊术(TVT‐O)与单切口经阴道、经闭孔无张力尿道中段吊带术(TVT‐S)两种尿道中段悬吊术式治疗女性压力性尿失禁的远期有效性及安全性。方法回顾性分析2007年6月至2014年2月我院由同一手术医师进行操作的TVT‐O与TVT‐S两种尿道中段悬吊术式患者的临床资料。评估比较两种术式患者手术前后一般指标、术后患者客观、主观治愈率及术后腹股沟区疼痛、及其并发症发生情况。结果共45例患者入选研究,整体平均年龄(55.07±12.25)(31~86)岁,术后平均随访时间(43.2±24.0)(6~86)个月,两组患者术前资料、手术相关指标均无统计学差异(P>0.05)。术后两组患者生活质量简表评分(ICIQ‐SF)相比无统计学差异(P>0.05);术后患者客观治愈率(TVT‐O组78.95% vs . TVT‐S组76.92%)、主观治愈率(TVT‐O组68.42% vs .TVT‐S组76.92%)、术后腹股沟区疼痛发生率(TVT‐O组21.05%vs .TVT‐S组3.85%)等指标与术前比较,均无显著性差异(P均>0.05)。结论 TVT‐O及TVT‐S两种术式均能有效治疗女性压力性尿失禁。TVT‐S吊带的远期疗效并不弱于TVT‐O吊带。
目的:比較經陰道、經閉孔無張力尿道中段懸弔術(TVT‐O)與單切口經陰道、經閉孔無張力尿道中段弔帶術(TVT‐S)兩種尿道中段懸弔術式治療女性壓力性尿失禁的遠期有效性及安全性。方法迴顧性分析2007年6月至2014年2月我院由同一手術醫師進行操作的TVT‐O與TVT‐S兩種尿道中段懸弔術式患者的臨床資料。評估比較兩種術式患者手術前後一般指標、術後患者客觀、主觀治愈率及術後腹股溝區疼痛、及其併髮癥髮生情況。結果共45例患者入選研究,整體平均年齡(55.07±12.25)(31~86)歲,術後平均隨訪時間(43.2±24.0)(6~86)箇月,兩組患者術前資料、手術相關指標均無統計學差異(P>0.05)。術後兩組患者生活質量簡錶評分(ICIQ‐SF)相比無統計學差異(P>0.05);術後患者客觀治愈率(TVT‐O組78.95% vs . TVT‐S組76.92%)、主觀治愈率(TVT‐O組68.42% vs .TVT‐S組76.92%)、術後腹股溝區疼痛髮生率(TVT‐O組21.05%vs .TVT‐S組3.85%)等指標與術前比較,均無顯著性差異(P均>0.05)。結論 TVT‐O及TVT‐S兩種術式均能有效治療女性壓力性尿失禁。TVT‐S弔帶的遠期療效併不弱于TVT‐O弔帶。
목적:비교경음도、경폐공무장력뇨도중단현조술(TVT‐O)여단절구경음도、경폐공무장력뇨도중단조대술(TVT‐S)량충뇨도중단현조술식치료녀성압력성뇨실금적원기유효성급안전성。방법회고성분석2007년6월지2014년2월아원유동일수술의사진행조작적TVT‐O여TVT‐S량충뇨도중단현조술식환자적림상자료。평고비교량충술식환자수술전후일반지표、술후환자객관、주관치유솔급술후복고구구동통、급기병발증발생정황。결과공45례환자입선연구,정체평균년령(55.07±12.25)(31~86)세,술후평균수방시간(43.2±24.0)(6~86)개월,량조환자술전자료、수술상관지표균무통계학차이(P>0.05)。술후량조환자생활질량간표평분(ICIQ‐SF)상비무통계학차이(P>0.05);술후환자객관치유솔(TVT‐O조78.95% vs . TVT‐S조76.92%)、주관치유솔(TVT‐O조68.42% vs .TVT‐S조76.92%)、술후복고구구동통발생솔(TVT‐O조21.05%vs .TVT‐S조3.85%)등지표여술전비교,균무현저성차이(P균>0.05)。결론 TVT‐O급TVT‐S량충술식균능유효치료녀성압력성뇨실금。TVT‐S조대적원기료효병불약우TVT‐O조대。
Objective To compare the clinical efficacy and safety of transobturator midurethral sling (TVT‐O) and sin‐gle‐incision sling TVT‐Scure (TVT‐S) in the treatment of female stress urinary incontinence (SUI) .Methods Clinical data of female SUI patients who underwent TVT‐O or TVT‐S procedure by one same doctor during Jun .2007 to Feb .2014 in our center were collected .The pre‐and peri‐operative data ,subjective cure rate ,objective cure rate ,groin pain and other complications were compared .Results A total of 45 patients were enrolled .The patients'average age was (55 .07 ± 12 .25) (31~86) years .The mean follow‐up was (43 .2 ± 24 .0) (6~86) months .There were no sig‐nificant differences in pre‐operative data or peri‐operative data (P>0 .05) between the two groups .No significant differences were found in post‐operative international consultation on incontinence‐short form (ICIQ‐SF) score (P>0 .05) .The objective and subjective cure rate of TVT‐O group and TVT‐S group was 78 .95% vs .76 .92% (P=0 .872) ,and 68 .42% vs .76.92% (P=0 .524) .The incidence of groin pain rate of TVT‐O group and TVT‐S group was 21 .05% vs .3 .85% (P=0 .070) .Conclusion Both TVT‐O procedure and TVT‐S procedure are effective and reliable in treatment of female SUI .The long‐term follow‐up results showed that TVT‐S has nearly the same good results as TVT‐O .