无张力阴道吊带修复女性压力性尿失禁  

TREATMENT OF FEMALE STRESS URINARY INCONTINENCE WITH TENSION-FREE VAGINAL TAPE

作　　者：沈宏[1] 龚春雨[1] 黄进[1] 余志海[1] 魏强[1] 

机构地区：[1]四川大学华西医院泌尿外科,成都610041

出　　处：《中国修复重建外科杂志》2006年第3期232-234,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的探讨无张力阴道吊带(tension-freevaginaltape,TVT)术的适应证、手术方法及并发症的预防。方法2003年9月～2004年12月共收治女性压力性尿失禁(stressurinaryincontinence,SUI)患者40例,年龄30～73岁,平均56.3岁,病程1～42年,平均7.2年。其中伴膀胱或直肠膨出8例,子宫脱垂1例。均采用TVT术进行修复,对合并子宫脱垂或阴道前/后壁膨出者,一并行阴道前后壁部分剪除蝶形补片。结果40例患者术后均获满意效果,术后合并短时轻度排尿困难2例,膀胱穿孔及盆腔血肿各1例,经处理后均痊愈。患者均获随访1～15个月,无尿失禁复发及排尿困难。结论TVT术是一种治疗SUI的有效方法。Objective To investigate the indication, approaches and prevention of complications in treatment of female stress urinary incontinence （SUI） with tension-free vaginal tape （TVT）. Methods From September 2003 to December 2004, 40 cases of female stress urinary incontinence were treated, including 8 cases in association with cystocele or reetocele and 1 case in association with uterine prolapse. They ranged from 30 to 70 years in age with an average of 56.3 years. The disease course was 1-42 years（7.2 years on average）. All patients received TVT, In the patients suffering from uterine prolapse and cystocele or rectocele, butterfly-shaped mesh patch was applied. Results All patients achieved satisfactory results. The complications included slight dysuria（2 cases）, vesical perforation（1 case） and pelvic hematoma（1 case） and cleared up after treating. All cases were followed up 1 to 15 months and the results were satisfactory. No urinary incontinence and no dysuria reoccurred. Conclusion TVT is effective for SUI.

关 键 词：无张力阴道吊带 压力性尿失禁 修复 

分 类 号：R699.7[医药卫生—泌尿科学]