经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁的临床观察  

The clinical observation of the transobturator tension-free vaginal tape surgery to treat female stress urinary incontinence

作　　者：罗小婉[1] 熊小英[1] 齐青萍[1] 甘玉杰[1] 郑树忠[1] 林霞[1] 罗燕艳[1] 

机构地区：[1]中山市博爱医院妇科,广东省中山528401

出　　处：《中国基层医药》2009年第6期1003-1004,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨经闭孔无张力尿道中段悬吊术TVT-O治疗女性压力性尿失禁SUI的疗效及安全性。方法回顾性分析2006年4月至2008年6月接受TVT-O的28例女性SUI患者的临床资料，随访时间4—24个月。结果手术时间平均23min（10～30min），术中出血量平均24ml（15—40ml）。3例术后排尿困难，保留尿管3d后自行排尿。术后能达到完全控尿24例（85．7％），有效控尿4例（14．3％）。结论TVT-O是目前治疗女性SUI的一种有效、安全的微创手术。Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape （TVT-O） surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence （SUI）. Methods 28 eases with female stress urinary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 rain （rang 10 -30 min） and the mean intranperafive bleeding was 24 ml （range 15 -40 ml）. An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients（85.7%） reached complete control after the surgery,effective control in 4 patients（ 14.35% ）. Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence.

关 键 词：压力性尿失禁 经闭孔无张力尿道中段悬吊术 女性 

分 类 号：R699[医药卫生—泌尿科学]