摘要
目的:评价单切口可调节AjustTM吊带治疗固有括约肌障碍型(ISD)女性压力性尿失禁(SUI)疗效及安全性。方法:回顾性分析我院2013年3月至2014年2月26例接受AjustTM吊带手术的经尿动力学检查证实为尿道固有括约肌障碍型(ISD)SUI患者的临床资料。分别于术后6个月、12个月对患者进行复查、随访。填写经过验证的问卷ICI-Q-SF、PISQ-12、UDI-6/ⅡQ-7,并比较患者手术前后膀胱残尿量(PVR)和最大尿流率(Qmax)评估手术疗效。结果:本组患者术中均无膀胱损伤、尿道损伤、闭孔血管及神经损伤、术后大腿根部疼痛等并发症。术后6个月随访(26例):治愈率92.3%,有效率96.2%;术后12个月随访(11例):治愈率90.9%,有效率100%。患者术后末次随访症状及QOL评分均较术前显著改善(P<0.01)。有性生活患者术后PISQ-12评分与术前无统计学意义差异(P>0.05)。患者术后末次UDI-6及Ⅱ-Q7问卷总体评分较术前有统计学意义降低(P<0.05),但10例患者术后末次UDI-6问卷梗阻项目评分较术前增加。患者手术前后PVR无统计学意义变化(P>0.05),术后末次Qmax较术前降低有统计学意义(P<0.05)。结论:AjustTM吊带手术是治疗固有括约肌障碍型(ISD)女性压力性尿失禁的微创、安全的手术方法,短期疗效满意,远期疗效有待进一步随访。
Objectives：To assess the safety and efficacy of AjustTM for surgical treatment of female stress u-rinary incontinence （SUI）with ISD.Methods：The outcome of 26 AjustT M procedures for female stress urinary in-continence was analyzed.The follow -up time was 6 and 1 2 months.All the patients were asked to record the ICI -Q -SF ,PISQ -1 2 and UDI -6 /ⅡQ -7 questionnaires before and after operation.The Qmax and PVR before and after operation were collected to evaluate the functions of the patients’bladder.Results：There were no cases of bladder injury or injury of obturator nerves or vessels in all the patients.6 months after the operation,the cure rate and effective rate was 92.3% and 96.2% respectively;the final cure rate and effective rate of patients was 90.9%and 1 00%.There were notable improvements of common symptom and QOL scores in all the patients （P 〈0.01 ）. There were significant improvements of the PISQ -1 2 scores in the patients who were still sexually active （P 〈0.05）.The changes in PVR of patients between before and after treatment were insignificant （P 〉0.05）.Conclu-sion：The AjustTM procedure is a safe,effective and minimally invasive treatment method for female SUI patients with ISD.
出处
《中国性科学》
2015年第8期27-30,共4页
Chinese Journal of Human Sexuality
关键词
压力性尿失禁
可调节吊带
固有括约肌障碍
疗效
膀胱出口梗阻
Stress urinary incontinence
AjustTM
Intrinsic sphincter incontinence
Curative effect
Bladder outlet obstruction
