摘要
目的探讨无针吊带技术与经闭孔无张力尿道中段吊带术(trans-obturator vaginal tape,TOT)在女性压力性尿失禁治疗中的临床疗效。方法前瞻性选取本院2012年7月-2018年1月收治的126例压力性尿失禁女性患者作为研究对象,按治疗方案不同分为对照组和观察组,各63例,对照组给予TOT术治疗,观察组给予无针吊带术治疗,记录两组术中出血量、平均手术用时、平均住院日及术后尿动力学参数及并发症情况,采用问卷调查法评估患者术后生活质量,总体评价疗效。结果观察组术中出血量、手术用时、平均住院日、生活质量评分等指标均显著优于对照组(P<0.05);而尿动力学参数指标:Qmax、MCC与对照组比较差异不显著(P> 0.05)。观察组总并发症发生率3.17%显著低于对照组12.70%,经χ2检验(P<0.05)。观察组总有效率96.83%显著高于对照组87.30%,经χ2检验(P<0.05)。结论无针吊带技术治疗女性压力性尿失禁各项指标优于传统TOT术,疗效显著,减少并发症,可作为女性压力性尿失禁首选治疗方案。
Objective To investigate the clinical efficacy of needleless strapping and trans-obturator vaginal tape（TOT）in the treatment of female stress urinary incontinence. Methods 126 female patients with stress urinary incontinence who were admitted to our hospital from July 2012 to January 2018 were prospectively selected as study subjects. According to the treatment plan, they were divided into the control group and the observation group, with 63 cases in each group. The control group was given TOT. The observation group was given needle-free tape, and the intraoperative blood loss, mean operation time, average length of stay, and postoperative urodynamic parameters and complications were recorded. Questionnaires were used to evaluate the postoperative quality of life, efficacy were overall evaluated. Results In the observation group, the intraoperative blood loss, operation time, average length of stay, quality of life scores and other indicators were significantly better than that of the control group（P 〈0.05）; and the urodynamic parameters： Qmax, MCC and the control group were not significantly different（P 〉0.05）. The incidence of total complications in the observation group was significantly lower than that of the control group by 3.17%（P 〈0.05）. The total effective rate in the observation group was 96.83%, which was significantly higher than that in the control group（87.30%）, through χ2 test（P 〈0.05）. Conclusion The needle-free sling technology is superior to traditional TOT in the treatment of female stress urinary incontinence. It has significant curative effect and reduces complications. It can be used as the first choice for female stress urinary incontinence.
作者
郭恒辉
刘强
艾克拜尔
侯刚剑
秦建琴
陈国伟
GUO Heng hui;LIU Qiang;AI KE Bai er;HOU Gang jian;QIN Jian qin;CHEN Guo wei(Department of Urology,The second Division of Xinjiang production and Construction Corps of Korla Hospital,Korla,Xinjiang 841000,China)
出处
《新疆医学》
2018年第9期974-976,共3页
Xinjiang Medical Journal
关键词
无针吊带技术
TOT术
女性压力性尿失禁
疗效
Needle-free Sling Technology
TOT Surgery
Female Stress Urinary Incontinence
Curative Effect
