两种悬吊术治疗女性压力性尿失禁疗效比较  

The analysis of the clinical difference between the tension-free vaginal tape-obturator technique(TVT-O) and improved tension-free vaginal tape-obturator technique(improved TVT-O)in the treatment of stress urinary incontinence

作　　者：刘素芬[1] 施如霞[1] 谢晔玲[1] 

机构地区：[1]南京医科大学附属常州市第二人民医院妇科,江苏常州213003

出　　处：《中国实用妇科与产科杂志》2011年第9期680-683,共4页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨经闭孔尿道中段无张力悬吊术和改良尿道中段无张力悬吊术在治疗女性压力性尿失禁中的疗效。方法 2008年5月至2009年5月在南京医科大学附属常州市第二人民医院将100例压力性尿失禁患者随机分成两组,一组进行经闭孔尿道中段无张力悬吊术,简称闭孔组,作为对照组;另一组行改良尿道中段无张力悬吊术,简称改良组;比较两组术中情况及术后疗效。结果分别对两种方法的手术时间,术中出血量,排气时间及住院时间等指标进行统计学分析(P<0.05),结果表明改良组较对照组手术时间短,术中出血少,住院时间短(P<0.05);而改良组在术后1年的复发率较对照组差异无统计学意义(P>0.05)。结论改良尿道中段无张力悬吊术手术更简单,短期疗效满意,对患者生存质量有很大改善,但对其长期疗效还有待进一步研究。Objective The effectiveness and safety of the tension-free vaginal tape-obturator technique （TVT-O） and im- proved tension-free vaginal tape-obturator technique of （improved TVT-O） for the treatment stress urinary incontinence was assessed dentally. Methods Between May 2008 and May 2009 in the Changzhou Second People＇s Hospital of Nanjing Medical University 100 patients were divided into two groups randomly, one group which named the control group treated with the tension-free vaginal tape-obturator technique, and the other which was name the improved group treated with the improved tension-free vaginal tape-obturator technique,The effectiveness of the two methods before and after the operation was investigated. Results Compared with the TVT-O technique, the mean operation time, the mean bleed loss and the mean hospital stay time was less using the improved TVT-O technique（ P 〈 0.05 ） ; but there was no significant difference of the recurrence rate of stress urinary incontinence between the two techniques （P 〉 0. 05）. Conclusion Im- proved TVT-O is a surgery which is easy to operate, and has satisfied shorter-time cure rate and quality life. The impact of long term results still needs further investigation.

关 键 词：经闭孔尿道中段无张力悬吊术 改良尿道中段无张力悬吊术 压力性尿失禁 

分 类 号：R711.5[医药卫生—妇产科学]