摘要
目的探讨阴道单切口可调节AjustTM吊带治疗女性压力性尿失禁的有效性、安全性以及1年后随访情况。方法回顾性分析2012年10月至2014年2月于北京协和医院因压力性尿失禁(SUI)行AjustTM吊带手术并可随访到的患者共31例,其中24例同时进行抗脱垂手术。收集围手术期并发症情况以及术后3个月、12个月门诊随访情况。分别计算术后3个月、12个月及电话随访时的治愈率、改善率及失败率,Wilcoxon符号秩和检验比较IIQ-7、PFDI-20及PISQ-12问卷术前术后评分情况。结果平均随访22(12~29)个月,随访率88%。术后3个月治愈率83.9%,改善率12.9%,失败率3.2%;术后12个月治愈率87.1%,改善率9.7%;失败率3.2%。3例(9.7%)术后新发急迫症状,其中2例为反复泌尿系感染。IIQ-7及PFDI-20问卷术后3个月、12个月评分与术前评分相比均显著降低(P<0.05)。结论 AjustTM吊带术后的中期随访结果显示该术式有较高SUI治愈率及改善率,手术安全性好,无严重并发症出现。
Objective To investigate whether the adjustable single-incision sling （AjustTM） procedure is safe and effective in management of female stress urinary incontinence at longer than one- year follow- up. Methods Retrospective analysis was made in 31 patients with SUI who underwent AjustTM procedure from October 2012 to February 2014 at Peking Union Medical College Hospital and among whom 24 patients had concomitant anti-prolapse procedures. The data about clinical parameter, operation, complication, urinary continence at preoperative, 3-month and 12-month follow-up was collected. Cure rate, improvement rate and failure rate were calculated respectively according to 3-month, 12-month and last follow-up. Wilcoxon signed-rank test was used to evaluate pre- and post-operative questionnaire scores.Results The average follow-up time was 22 months （12-29 months） and the follow-up rate was 88%. The cure rate, improvement rate and failure rate were 83.9%, 12.9% and 3.2% respectively at 3-month follow-up and $7.1%, 9.7% and 3.2% respectively at 12-month and last follow-up. 3 patients （9.7%） obtained de novo urgency including 2 patients who were proved recurrent urinary tract infection. Both scores of IIQ-7 and PFDI-20 at 3-month and 12-month follow-up were lower than preoperative ones（P 〈 0.05）.Conclusion AjustTM sling is a safe and reliable treatment for female SUI with good cure and improvement rates and few complications at a mid-term follow-up.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2015年第8期741-744,共4页
Chinese Journal of Practical Gynecology and Obstetrics
基金
十二五国家科技支撑项目盆底功能障碍性疾病的规范化治疗(2014BAI05B02)
关键词
压力性尿失禁
单切口吊带
手术
治愈率
stress urinary incontinence
single-incision sling
surgery
cure rate
