阴道无张力尿道中段悬吊带术后尿潴留发生及危险因素研究  

Incidence,Predictive Factors and Treatment of Urinary Retention after Tension-free Vaginal Tape Procedure for Female Stress Urinary Incontinance

作　　者：王洪庆[1] 朱兰[1] 郎景和[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院,北京100730

出　　处：《实用妇产科杂志》2007年第5期283-285,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:确定阴道无张力尿道中段悬吊带术(TVT)后尿潴留的发生率,探讨影响膀胱排空功能障碍的相关因素及其防治措施。方法:回顾性分析136例行TVT手术患者的病例资料,其中97例同时行子宫切除或阴道壁修补术等其他妇科手术,术后第2天测残余尿,记录患者临床资料。结果:17例术后发生尿潴留,恢复时间平均为5.2天,13例术后1周内恢复正常排尿功能,2周内全部恢复正常。单因素分析显示年龄、产次及最大尿流率(≤20 ml/s)两组间差异有显著性,多因素分析显示只有最大尿流率有统计学意义(OR=0.076,P=0.040)。结论:行TVT术后发生尿潴留的患者大多在1周之内膀胱排空功能恢复正常,术前最大尿流率值对预测术后尿潴留发生有价值。Objective：To investigate the incidence and predictors of urinary retention after tension-free vaginal tape （TVT） procedure for stress urinary incontinence, Methods：We retrospectively analyzed the records of 136 patients who underwent the TVT procedure between January 2001 and January 2006 in PUMC hospital, Using univariate analysis and multivariate logistic regression analysis, we analyze the relationship between the parameters with postoperative urinary retention to ascertain the risk factors, Results： Urinary retention occurred in 17 patients among the 136 patients after TVT procedure and the mean time to adequate voiding is 5.2 days, Univariate analysis showed that patient＇ age, parity and peak urinay flow rate （≤20 ml/s） predicted urinary retention. However, on multivariate logistic analyses the peak urinay flow rate （ ≤20 ml/s） was the only significant independent risk or predictive factor （ OR = 0,076, P = 0.040）. Conclusions：The patient developed urinary retention after TVT procedure recovered norrnal voiding within 1 week, Preoperative peak urinay flow rate was significant preclictive factor of urinay retention after TVT procedure.

关 键 词：压力性尿失禁 TVT手术 尿潴留 危险因素 

分 类 号：R713[医药卫生—妇产科学]