摘要
【目的】探讨经阴道无张力尿道中段吊带悬吊术(TVT)治疗女性压力性尿失禁(SUI)的临床效果。【方法】2004年1月至2007年12月采用TVT治疗SUI患者30例。术前尿动力学检查排除神经原性膀胱和急迫性尿失禁。术前常规检查排除泌尿系感染和阴道感染。患者均未接受其他针对女性SUI的手术治疗。【结果】手术均成功。手术时间在25～35min,平均30min。术中出血10～100mL,平均40mL。术后住院5～9d,平均7d。1例术中发生膀胱穿孔,经留置导尿2周后治愈。1例去除尿管后出现急性尿潴留、排尿困难,再次留置尿管2周后排尿通畅。其余患者排尿通畅。无切口感染、继发出血等。随访3～12个月,尿失禁无复发。【结论】TVT治疗SUI操作简便、手术时间短、手术创伤小、吊带悬吊程度可随意调整,近期效果理想,远期效果尚有待于长期随访观察。
[Objective] To investigate treatment of stress urinary incontinence（SUI） with tension-free vaginal tape（TVT）. [Methods]Thirty cases of SUI were treated with TVT from January 2004 to December 2007. There was no case of neurogenic bladder, urgency incontinence or infection. None of the cases underwent operations of incontinence. [Results]All the operations succeeded. There was no case of infection or bleeding. The operation time was 25 to 35 minutes. The mean days in hospital were 7. The follow-up was 3 - 12 months. There was no case of recurrence. [Conclusion] Treatment SUI with TVT is easy and recovers quick ly. The operation time is very short. Tape extent is easy to regulate. The result in the near future is very good. But the long-term result needs observation.
出处
《医学临床研究》
CAS
2008年第10期1746-1748,共3页
Journal of Clinical Research
