TVT与SPARC治疗女性压力性尿失禁的临床疗效比较(附31报告)  

Compared effect on female stress urinary incontinence with SPARC and TVT (31 cases)

作　　者：欧汝彪[1] 谢克基[1] 曾健文[1] 姜粹平[1] 潘朝杰[1] 

机构地区：[1]广州市第一人民医院泌尿外科,510180

出　　处：《广州医药》2007年第2期45-47,共3页Guangzhou Medical Journal

摘　　要：目的探讨女性压力性尿失禁的两种术式(TVT与SPARC)的临床疗效比较。方法采用尿道中段无张力悬吊带术治疗31例女性压力性尿失禁患者,其中经阴道无张力尿道中段悬吊术(Tension-free Vaginal Tape,TVT)治疗16例,经耻骨上膀胱尿道吊带术(Suprapubic arch sling,SPARC)治疗15例,对2组术中记录,术后控尿、合并症以及复发情况进行比较。结果TVT组与SPARC组比较,手术时间(30.8±8.3/35.1±3.9)min、术中出血量(60.6±20.2/62.3±10.5)ml,差异均无显著性;两组病例均未见膀胱穿孔、感染等并发症,TVT组有1例病人术后出现尿潴留,尿道扩张留置尿管24h后拔除,患者亦恢复正常排尿,术后两组病人均能获得满意的排尿效果。结论经阴道无张力吊带术是治疗女性压力性尿失禁的较为理想手术,创伤小、出血少,远期效果好。无论是采用TVT法还是采用SPARC法,只要病例选择得好,方法得当,均能取得满意效果。Objective To investigate the comparable clinical efficiency of undergoing tension-free vaginal tape （TVT） or suprapubic arch sling （SPARC） for stress urinal incontinence （SUI） . Methods 31 patients underwent the procedure of mid-urethral tension-free vaginal tape, 16 for TVT and 15 for SPARC. Several indexes such as operation record, post-operation continent status, complications and relapse were recruited to compare between the two groups. Results TVT to SPARC, operationtime： （30.8±8.3 to35.1 ±3.9） min, blood lost： （60.6±20.2 to62.3±10.5） ml, no significant difference; no complications such as bladder perforation, infection and so on, were presented, 1 patient in TVT group come up retention after operation, urethral expanded and catheter indwelled for 24 hours, then removed, and restored normal micturition. Conclusion The procedure of mid-urethral tension-free vaginal tape is an ideal treatment for SUI, less damage and blood lost, good longterm effect. Whatever TVT or SPARC for the alternative treatment, satisfactory outcome can be achieved as long as appropriate case and elaborate methods were applied.

关 键 词：压力性尿失禁 女性 经阴道无张力尿道中段悬吊术 经耻骨上膀胱尿道吊带术 

分 类 号：R699[医药卫生—泌尿科学]