期刊文献+

TVT手术治疗压力性尿失禁25例临床分析 被引量:2

The clinic value of TVT for 25 urinary incontinence patients
下载PDF
导出
摘要 目的:探讨应用经阴道无张力尿道悬吊带(Tension-free vaginal tape,TVT)治疗女性压力性尿失禁的临床效果和常见并发症。方法:选择25例女性压力性尿失禁患者,利用弧形Trocar穿刺针将TVT从阴道前壁切口放置于尿道中段下方,术后24h拔除导尿管自行排尿。结果:全部患者随访6~24个月,平均14.6个月。22例治愈,2例有效,1例尿失禁复发。术后4例出现手术并发症,发生率为16%,其中手术中发生膀胱穿刺损伤3例,经膀胱尿道镜检查及时发现,退针重新穿刺,术后延长导尿管留置时间5~7d后膀胱穿刺损伤部位自愈。耻骨后血肿1例,经保守治疗后康复。结论:TVT治疗女性压力性尿失禁的疗效满意,手术简单,安全可靠,无严再并发症。 Objective: To assess the effects after the tension-free vaginal tape (TVT) procedure in women with stress urinary incontience. Methods: Twenty five patients with stress urinary incontinence underwent the TVT procedure. Results: The patients have been followed up for 6-24 months. All but one are effective. Conclusion: Our resuhs demonstrate that the TVT procedure is a safe and effective method for the treatment of stress incontinence in the female patient .
出处 《新疆医科大学学报》 CAS 2009年第1期51-52,共2页 Journal of Xinjiang Medical University
关键词 压力性尿失禁 TVT悬吊术 膀胱穿刺损伤 urinary incontinence TVT (tension free vaginal tape) bladder injury
  • 相关文献

参考文献11

  • 1Iosif CF, Bekassy Z, Ryhdstrom H. Prevalence of urinary incontinence in middle - age women[J]. Int J Gynaecol Obstet, 1988,26:255-259.
  • 2Foldspang A, Mommsen S. Adult female urinary incontinence and child hood bedwetting[J]. Urol Int, 1994,152:85-88.
  • 3Burgio KL, Matthews K A, Engel BT. Prevalence,incidence and correlates of urinary incontinence in healthy, middle-aged women[J]. Urol Int,1991, 146:255-259.
  • 4宋岩峰,李亚钦,许波,宋健,郝岚.福州市社区女性尿失禁发病现状的分析[J].中华妇产科杂志,2004,39(4):257-259. 被引量:66
  • 5李江婷,谢克基,容超贤,姜少军,姚建玲,吴瑞芳,梁胜军.广州市海珠区女性尿失禁的流行病学调查[J].广州医学院学报,2002,30(3):48-51. 被引量:24
  • 6Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinaryincontinence[J].Int Urogynecol , 1996, 7:81- 86.
  • 7Petros P, Ulmsten U. An integral theory of female urinary incontinence. Experimental and clinical considerations[J].Acta Obstet Gynecol Scand,1990, 69:153.
  • 8Klutke JJ ,Carlin BI, Klutke CG. The tension free vaginal tape procedure: correction of stress incontinence with minimal al teration in p roximal urethralmobility[J]. Urology 2000,55: 512-514.
  • 9Nilsson CG, Kuuva N, Falconer C, et al. Long term results of tension free p rocedure for surgical treatment of female Int Urogynecol, 2001, (Suppl 2):S5-S8.
  • 10Jeffry L, Deval B. Birsan A. et al. Objective and subjective cure rates after tension free vaginal trap for treatment of urinary ineontience[J]. Urology,2001,58(5):702-706.

二级参考文献18

  • 1朱德淳,高国,柏杰,舒晴.成年女性尿失禁的流行病学调查[J].白求恩医科大学学报,1995,21(6):607-609. 被引量:11
  • 2Abrams P, Blaivas JG, Stanton SL, et al. The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology.Scand J Urol Nephrol Suppl, 1988,114:5-19.
  • 3Hunskaar S, Arnold EP, Burgio K, eds. Epidemiology and natural history of urinary incontinence (UI). In: Abrams P, Khoury S, Wein A, eds. Incontinence. Monaco: Health Publication Ltd, 1999.197-226.
  • 4Jackson S, Donovan J,Brookes S, et al. The Bristol Female Lower Urinary Tract Symptoms questionnaire: development and psychometric testing.Br J Urol,1996,77:805-812.
  • 5Abrams P,Blaivas JG,Stanton SL,et al.The standardisation of terminology of lower urinary tract function recommended by the International Continence Society.Int Urogynecol J,1990, 1:453-465.
  • 6Ouslander JG. Urinary incontinence in nursing homes.J Am Geriatr Soc, 1990,38:289-291.
  • 7Perry S,Shaw C, Assassa P,et al. An epidemiological study to establish the prevalence of urinary symptoms and felt need in the community: the Leicestershire MRC Incontinence Study. Leicestershire MRC Incontinence Study Team.J Public Health Med, 2000,22:42
  • 8Hannestad YS,Rortveit G,Sandvik H,et al. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag.J Clin Epidemiol, 2000,53:1150-1157.
  • 9Muscatello DJ,Rissel C,Szonyi G. Urinary symptoms and incontinence in an urban community: prevalence and associated factors in older men and women.Intern Med J, 2001,31:1511-1560.
  • 10Aggazzotti G,Pesce F,Grassi D,et al. Prevalence of urinary incontinence among institutionalized patients: a cross-sectional epidemiologic study in a midsized city in northern Italy.Urology, 2000,56:245-249.

共引文献81

同被引文献15

引证文献2

二级引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部