经闭孔无张力阴道吊带术治疗女性压力性尿失禁.pdf.pdf

生且箍鲞箍期j丝MedJ,January2008,Vo134,***吊带术治疗女性压力性尿失禁甘卫东燕翔郭宏骞刘铁石李笑弓张士伟【摘要】目的探讨经闭孔无张力***吊带术(TVT-O)治疗女性压力性尿失禁(SUI)的临床疗效。方法回顾性分析19例临床和尿动力学检查诊断为SUI的患者。年龄36~82(±)岁。病程2~30(±)年。结果手术时间12~25(15±3)min,术中出血量均<30ml。未出现膀胱穿孔、***穿孔、伤口感染和吊带排异等并发症。术后2d拔除导尿管,16例即获得满意控尿;3例拔管后仍有轻微尿失禁,1周后症状自行缓解,2例出现大腿根部酸痛,3d后症状均自行缓解,未做特殊处理。全组未出现排尿困难和尿潴留现象,。所有病例均获随访3~19个月,无尿失禁复发。结论TVr_O术简捷、微创,并发症少,疗效确切,是一种治疗女性SUI安全有效的方法。【关键词】压力性尿失禁;无张力***吊带【中图分类号1R694【文献标识码】A【文章编号10253—3685(2008)01—0045—02Tension-freetransobturatorⅥ-outprocedureforfemalestressurinaryincontinenceGANWeidong,Xiang,GUOHongqian,,MedicalSchool0lNaniingUniversity,Na,qing210008,CHINA[Abstract]ObjectiveToevaluatetheclinicalefficacyoftension-freevaginaltape-“inside-out’’obturatorsystem(TVr_O)intreatingfemalastressurinaryincontinence(SUI).(±)yearsoldThemeandiseasecoursewas(-4-)(15±3)min,。3patientsremainedslightncontinencethatrelievedwithouttreatmentoneweeklater,,