经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁22例临床分析  

Treatment of female SUI with TVT-O:clinical analysis of 20 cases.

作　　者：林仲秋[1] 苏琛辉[1] 陈志辽[1] 张丙忠[1] 林容春[1] 郑芝祥[2] 吴淑卿[2] 唐家龄[3] 叶明[3] 熊小英[4] 陈文英 郑大有 邝以慈 

机构地区：[1]中山大学附属第二医院妇产科,广东广州510120 [2]广东省汕头市中心医院妇产科,广东汕头515000 [3]广州市妇婴医院妇科,广东广州510000 [4]广东省中山市博爱医院妇产科,广东中山528400 [5]广东省台山市妇幼保健院,广东台山529200 [6]广东省开平市人民医院妇产科,广东开平529300

出　　处：《中国实用妇科与产科杂志》2006年第6期438-440,共3页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的 评价经闲孔无张力尿道中段悬吊术（TVT-O）治疗女性压力性尿失禁（SUI）的疗效。方法 回顾性总结2004-07—2005-12采用TVT-O术式治疗女性SUl的临床资料22例。结果 22例病人均治愈，平均手术时间14min，术中无并发症，无膀胱损伤。术后短期尿潴留3例（13．6％）。术后平均随访9个月（1～15个月），至今无并发症发生。结论 TVT-O术式操作简便快捷、创伤小、并发症少、不易损伤膀胱，是治疗女性SUI的安全有效方法。Objective To evaluate the effectiveness of the Tension Free Vaginal Tape Obturator Technique （TVT - O） procedure in the treatment of female stress urinary incontinence, Methods Twenty-two cases of female stress urinary incontinence treated by TVT - O procedure from July 2004 to December 2005 were analyzed retrospectively. Results The mean operation time was 14 minutes. All 22 cases were successfully cured by the TVT - O procedure. No complications and no bladder injury were recorded among all of the operations, The rate of postoperative urinary retention was 13.6% （n = 3 ）. All cases were followed up form 1 to 15 months（mean 9 months）, which showed no complicationsl Conclusion TVT - O procedure is simple and minimally invasive with lower complication rate and less risk of injury to the bladder, It is a satisfactory technique for the surgical treatment of the female urinary stress incontinence.

关 键 词：尿失禁 压力性 无张力阴道吊带术 TVT-O女性 

分 类 号：R71[医药卫生—妇产科学]