国际妇产科学杂志
國際婦產科學雜誌
국제부산과학잡지
Journal Of International Obstetrics And Gynecology
2015年
5期
511-514
,共4页
尿失禁,压力性%疼痛,手术后%手术后并发症%前瞻性研究
尿失禁,壓力性%疼痛,手術後%手術後併髮癥%前瞻性研究
뇨실금,압력성%동통,수술후%수술후병발증%전첨성연구
Urinary incontinence,stress%Pain,postoperative%Postoperative complications%Prospective studies
目的：比较Ajust 与TVT-OTM对于治疗女性压力性尿失禁的主观/客观治愈率、术后疼痛感、术后并发症，以及对于生活质量的影响。方法：将2012年1月—2013年5月期间收治的327例压力性尿失禁（SUI）患者随机分为Ajust 手术组163例、TVT-OTM手术组164例。采用治愈率、手术并发症、术后疼痛感、患者整体印象改善度（Patient Global Impression of Improvement，PGI-I）、尿失禁问卷表简表（ICIQ-SF）评价疗效。结果：Ajust 组患者术后疼痛感较TVT-OTM组显著减轻（P＜0.05）。Ajust 组手术时间及术中出血量小于TVT-OTM组（P=0.00）。2组围手术期并发症差异无统计学意义（P＞0.05）。 Ajust 组与TVT-OTM组比较，主观治愈率及客观治愈率差异无统计学意义（分别为92.0%比89.6%和95.1%比93.9%，P＞0.05）。Ajust 组患者术后可以更早恢复正常生活（P=0.00）。2组患者术后生活质量评分较术前均有显著提高（P=0.00），但2组患者生活质量平均改善情况差异无统计学意义（P=0.235）。结论：Ajust 治疗SUI操作简便，安全有效。与TVT-OTM相比手术简便快捷，术中出血少，术后疼痛程度轻，恢复时间短。
目的：比較Ajust 與TVT-OTM對于治療女性壓力性尿失禁的主觀/客觀治愈率、術後疼痛感、術後併髮癥，以及對于生活質量的影響。方法：將2012年1月—2013年5月期間收治的327例壓力性尿失禁（SUI）患者隨機分為Ajust 手術組163例、TVT-OTM手術組164例。採用治愈率、手術併髮癥、術後疼痛感、患者整體印象改善度（Patient Global Impression of Improvement，PGI-I）、尿失禁問捲錶簡錶（ICIQ-SF）評價療效。結果：Ajust 組患者術後疼痛感較TVT-OTM組顯著減輕（P＜0.05）。Ajust 組手術時間及術中齣血量小于TVT-OTM組（P=0.00）。2組圍手術期併髮癥差異無統計學意義（P＞0.05）。 Ajust 組與TVT-OTM組比較，主觀治愈率及客觀治愈率差異無統計學意義（分彆為92.0%比89.6%和95.1%比93.9%，P＞0.05）。Ajust 組患者術後可以更早恢複正常生活（P=0.00）。2組患者術後生活質量評分較術前均有顯著提高（P=0.00），但2組患者生活質量平均改善情況差異無統計學意義（P=0.235）。結論：Ajust 治療SUI操作簡便，安全有效。與TVT-OTM相比手術簡便快捷，術中齣血少，術後疼痛程度輕，恢複時間短。
목적：비교Ajust 여TVT-OTM대우치료녀성압력성뇨실금적주관/객관치유솔、술후동통감、술후병발증，이급대우생활질량적영향。방법：장2012년1월—2013년5월기간수치적327례압력성뇨실금（SUI）환자수궤분위Ajust 수술조163례、TVT-OTM수술조164례。채용치유솔、수술병발증、술후동통감、환자정체인상개선도（Patient Global Impression of Improvement，PGI-I）、뇨실금문권표간표（ICIQ-SF）평개료효。결과：Ajust 조환자술후동통감교TVT-OTM조현저감경（P＜0.05）。Ajust 조수술시간급술중출혈량소우TVT-OTM조（P=0.00）。2조위수술기병발증차이무통계학의의（P＞0.05）。 Ajust 조여TVT-OTM조비교，주관치유솔급객관치유솔차이무통계학의의（분별위92.0%비89.6%화95.1%비93.9%，P＞0.05）。Ajust 조환자술후가이경조회복정상생활（P=0.00）。2조환자술후생활질량평분교술전균유현저제고（P=0.00），단2조환자생활질량평균개선정황차이무통계학의의（P=0.235）。결론：Ajust 치료SUI조작간편，안전유효。여TVT-OTM상비수술간편쾌첩，술중출혈소，술후동통정도경，회복시간단。
Objective:To compare the patient-reported and objective cure rates, postoperative pain, postoperative complications, and postoperative quality of life of Adjustable Single-incision Sling (Ajust ) versus Tension-free Vaginal Tape-obturator (TVT-OTM) in the treatment of female stress urinary incontinence (SUI). Methods:A randomised trial was conducted in the period between January 2012 and May 2013, with the 327 SUI female patients randomised to either Ajust group (163 cases) or TVT-OTM group (164 cases). Evaluations were performed to compare the patient-reported and objective cure rates, postoperative complications, postoperative pain profile using Visual Analogue Scale (VAS), Patient Global Impression of Improvement Scale (PGI-I) and International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) of these two groups. Results:Compared with the TVT-OTM group, patients in the Ajust group had a significantly lower postoperative pain (P<0.05), shorter operative duration, and less intraoperative blood loss (P=0.00). No significant difference in peri-operative complications was shown between these two groups. Patient-reported and objective cure rates between the Ajust and TVT-OTM groups were:92.0%versus 89.6%and 95.1%versus 93.9%respectively, but this did not reach statistical significance (P>0.05). In comparison with the TVT-OTM group, the Ajust group showed an earlier recovery to normal activities (P=0.00). It is proved in PGI-I that both Ajust and TVT-OTM groups had a significant improvement of life quality (P=0.00), but no significant difference was shown about the average improvement of life quality between these two groups ( P=0.235). Conclusions:Ajust procedure is simple, safe and effective treatment of SUI. Compared with TVT-O TM, Ajust is simpler and faster, less intraoperative blood loss, generates less postoperative pain and quicker recovery.
