摘要
目的压力性尿失禁是中老年女性常见的一种疾病,发生率呈逐渐上升趋势,严重影响女性生活质量及身心健康。本研究探讨耻骨后无张力阴道吊带术(tension-free vaginal sling after pubic bone,TVT)和经闭孔经阴道尿道中段无张力悬吊术(tension-free suspension of middle vaginal urethra through obturator,TVT-O)治疗女性压力性尿失禁疗效,为改善女性身心健康寻求一种高效治疗方式。方法选取漯河市第三人民医院2016-10-10-2018-10-12收治的压力性尿失禁女性患者为研究对象,以住院号末位奇偶数随机分为TVT-O与TVT治疗组,各49例。术后随访6个月,比较两组临床疗效、围术期指标和并发症。结果TVT-O治疗组总有效率为93.88%,高于TVT治疗组的89.80%,差异无统计学意义,χ^2=0.136,P=0.461。TVT-O治疗组术中失血量为(19.65±5.17)mL,低于TVT治疗组的(30.22±5.64)mL,t=8.512,P=0.001;手术时间为(20.31±9.65)min,低于TVT治疗组的(28.15±10.22)min,t=3.904,P=0.001;住院时间为(3.22±0.39)d,低于TVT治疗组的(4.51±0.54)d,t=13.556,P=0.001。TVT-O治疗组并发症发生率为4.08%,低于TVT治疗组的18.37%,差异有统计学意义,χ^2=5.018,P=0.025。结论TVT-O与TVT均可有效治疗女性压力性尿失禁,而相较于TVT,TVT-O可减少术中出血量、缩短手术时间及住院时间,降低并发症发生率,利于患者预后。
OBJECTIVE Stress urinary incontinence is a common disease among middle-aged and elderly women.The incidence of disease is gradually increasing,which seriously reduces the quality of life of women and affects their physical and mental health.This study aims to investigate the efficacy of tension-free vaginal sling behind pubic bone(TVT)and tension-free suspension of middle vaginal urethra through obturator(TVT-O)in treatment of female stress urinary incontinence,and to actively seek a more effective treatment method,so as to improve physical and mental health of women.METHODS The female patients with stress urinary incontinence who admitted in the hospital from October 10,2016 to October 12,2018 were selected as research objects.All patients were divided into TVT-O group and TVT group according to the odd and even numbers of the last hospital number,with 49 cases in each group.TVT group underwent TVT,and TVT-O group was treated with TVT-O.After 6 months of postoperative follow-up,the clinical efficacy,perioperative indexes and complications were compared between two groups.RESULTS The total effective rate of TVT-O group(93.88%)was higher than that of TVT group(89.80%),but the difference was not statistically significant(χ^2=0.136,P=0.461).The intraoperative bleeding volume,operation time and hospital stays in TVT-O group[(19.65±6.17)mL,(20.31±9.65)min,(3.22±0.39)d]were lower than those in TVT group[(30.22±5.64)mL,(28.15±10.22)min,(4.51±0.54)d],and the difference was statistically significant[(t=8.512,P=0.001),(t=3.904,P=0.001),(t=13.556,P=0.001)].The incidence of complications in TVT-O group(4.08%)was lower than that in TVT group(18.37%),and the difference was statistically significant(χ^2=5.018,P=0.025).CONCLUSIONS TVT-O and TVT in treatment of female stress urinary incontinence are effective.However,compared with TVT,TVT-O for female stress urinary incontinence can reduce intraoperative bleeding volume,shorten operation time and hospital stays,decrease the incidence of complications,and promote the progn
作者
关亚威
李淑亚
谌彦军
GUAN Ya-wei;LI Shu-ya;SHEN Yan-jun(Department of Surgery,Luohe Third People's Hospital,Luohe 462000,P.R.China)
出处
《社区医学杂志》
2020年第3期202-205,共4页
Journal Of Community Medicine
关键词
女性压力性尿失禁
经闭孔经阴道尿道中段无张力悬吊术
耻骨后无张力阴道吊术
术后并发症
female stress urinary incontinence
tension-free suspension of middle vaginal urethra through obturator
tension-free vaginal sling behind pubic bone
postoperative complications
