摘要
目的比较经耻骨后无张力尿道悬吊术(TVT)和经闭孔无张力尿道悬吊术(TVT-O)治疗女性压力性尿失禁的手术并发症。方法回顾性分析我院2002年9月～2007年6月应用TVT和TVT-O治疗女性压力性尿失禁患者167例(TVT术74例,TVT-O术93例)的临床资料。结果术中膀胱穿孔:TVT组发生率为9.46%,TVT-O组为1.08%(P<0.05);术中出血>100ml:TVT组发生率为16.22%,TVT-O组6.45%(P<0.05),其他术中、术后并发症发生率两种手术方法比较,差异无显著性(P>0.05)。结论与TVT比较,TVT-O手术并发症的发生率低,且手术操作简便、手术时间短,是一种较理想的治疗女性压力性尿失禁的手术方法。
Objective To analyze the complications of tension- free vaginal tape （TVT） and trans obturater vaginal tape inside - out （TVT - O） for female stress urinary incontinence （SUI）. Methods A retrospective study was conducted on 167 women with SUI who underwent TVT （n= 74） or TVT - O （n= 93）. Results Bladder puncture （9.46% vs. 1.08%, P〈0.05） and operative bleeding more than 100 ml （16.22% vs. 6.45%, P〈0. 05） occurred more in TVT group than in TVT- O group. No significant difference was found in other complications. Conclusion Compared to TVT, the complications of TVT- O are less and the precedure is more simple, so that TVT O is an ideal treatment of female stress urinary incontinence.
出处
《中国妇产科临床杂志》
2009年第1期19-22,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
