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TVT-Secur手术治疗女性压力性尿失禁的手术技巧及疗效评价 被引量：5

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摘要 目的探讨TVT—Secur手术治疗女性压力性尿失禁的手术技巧、疗效和安全性。方法女性压力性尿失禁患者38例，均为中、重度压力性尿失禁。其中2例合并急迫性尿失禁和膀胱出口梗阻。采用TVT—Secur手术治疗，存在Ⅱ度阴道前／后壁膨出者加行阴道前／后壁修补术，存在膀胱出口梗阻、膀胱颈抬高者，加行经尿道膀胱颈切开术。采用门诊随访。结果术后失访2例，36例患者随访3～45个月，平均（28．0±10．3）个月．33例（91．7％）治愈，3例（8．3％）改善，1例24个月后复发。因手术操作疏忽，1例出现术中膀胱穿孔。1例术后排尿不畅，1例尿潴留，均经尿扩条下压吊带后好转，5例出现新发尿急，无其他术中或术后并发症发生。结论VT—Secur治疗女性压力性尿失禁简单、安全，效果好，远期效果有待随访。
作者 张忠云 梁月有 吴喜链 曹明欣 梁卫洁 陈羽
机构地区 中山大学附属第一医院泌尿外科 复旦大学附属华东医院泌尿外科 广东省惠州市中心人民医院泌尿外科
出处 《广东医学》 CAS CSCD 北大核心 2013年第19期2975-2978,共4页 Guangdong Medical Journal
基金 广东省科技计划项目(编号:2010B031600067)
关键词 压力性尿失禁 无张力阴道吊带术 外科手术
分类号 R694.54 [医药卫生—泌尿科学]
  • 相关文献

参考文献18

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二级参考文献1

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共引文献1

同被引文献43

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  • 8孙倩雯,黄秀金,赵建华,黄艳萍.电针联合膀胱功能训练治疗脑卒中后尿失禁的疗效观察[J].中华物理医学与康复杂志,2010,32(5):394-395. 被引量：5
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  • 10孙峰,方平,孙光,王岩,周煦东.经闭孔尿道吊带术治疗女性压力性尿失禁中远期疗效及安全性分析[J].实用医学杂志,2012,28(1):71-74. 被引量：8

二级引证文献41

广东医学
2013年 第19期

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