摘要
目的:观察经闭孔经阴道尿道中段悬吊术(TVT-O)治疗女性压力性尿失禁的疗效,并进行评价。方法:对33例女性压力性尿失禁患者经临床、尿动力学检查或膀胱尿道造影确诊,均为稳定性膀胱,无膀胱出口梗阻。确诊后行TVT-O手术疗。结果:30例患者术后拔尿管后尿失禁症状消失,随访6~24个月无复发,2例出现排尿困难,行尿道扩张后症状消失,1例出现急迫性尿失禁口服舍尼亭后好转。结论:TVT-O术操作简便,手术创伤小,手术时间短,并发症少,治愈率高,是治疗女性压力性尿失禁的有效方法。
Objective: To observe the operation effect of tension-free vaginal tape-obturator (TVT-O) for the female stress urinary in continence (FSUI). Methods: Thirty one patients with FSUI were treated with TVT-O operation, all the patients were confirmed to have stable bladder without outlet obstruction via clinical routine and urodynamic examination before operation. Results: All the patients were followed-up 6 -24 months, 30 cases were cured and the clinical symptoms disappeared after operation. Two patients with postoperative urine retention, after urethra dilated, the urine retention disappeared and no incontinence recurred. Urgent uracratia appeared on 1 cases, the symptom relieved after taking tolterodine L-tartrate. Conclusion: TVT-O is a simple, reliable, miniinvasive surgery to treat FSUI and with few complications.
出处
《新疆医科大学学报》
CAS
2009年第9期1312-1313,共2页
Journal of Xinjiang Medical University
基金
乌鲁木齐市科技局基金资助项目(Y06131001)
关键词
女性压力性尿失禁
TVT-O术
经闭孔经阴道尿道中段悬吊术
female stress incontinence (FSUI)
tension-free vaginal tape-obturator (TVT-O)
gynecare TVT obturator system