经闭孔无张力阴道吊带术治疗女性压力性尿失禁（附16例报告）  

Transobturator tension -free vaginal tape for surgical treatment of female stress urinary incontinence （ report of 16 cases ）

作　　者：刘小良[1] 周海滨[1] 付强[1] 曾泉[1] 宋秋元[1] 黄鹏[1] 魏胜宏[1] 蔡军[1] 唐青[1] 廖鑫鑫[1] 

机构地区：[1]九江学院附属医院泌尿外科,江西九江332000

出　　处：《国际泌尿系统杂志》2011年第6期742-744,共3页International Journal of Urology and Nephrology

摘　　要：目的探讨经闭孔无张力阴道吊带术（TVT—O）治疗女性压力性尿失禁（SUI）的疗效。方法经l临床和尿动力学检查确诊16例女性SUI患者，于术自尿道外口与阴道外口之间的切口向耻骨和耻骨降支的联合处钝悱分离问隙并穿过闭孔，将聚丙烯网吊带无张力置于尿道中段。结果手术时间平均20分钟，术中出血攮平均18ml，术后平均留置导尿16小时，术后平均住院4天，16例患者术后尿失禁症状均消失，其中2例患者出现轻微尿频，对症处理后尿频症状消失；l例患者自感大腿内侧疼痛，未给予处理术后第3天症状消失。结论TVT—O治疗女性SUI操作简单、微创、安全且疗效确切。Objectives To investigate the effectiveness of transobturator tension - free vaginal tape for surgical treatment of fenmle stress urinary incontinence. Methods Sixteen female patients confirmed to have stress urinary incontinence via clinical routine and urodynaloic examination were treating with TVT - O operation. TVT - O tape was implanted around mid - urethra via a minimal vaginal incision. Results The mean operation time was 20 rain and the mean intraoperative bleeding was 18 ml. The mean catheterization time was 16 hours and mean hospital stay was 4 days. All patients were cured and the clinical symptoms disappeared after operation. The clinical symptom of urinary frequency disappeared after symptomatic treatment in 2 cases ; and 1 case with the inner thigh pain had not been given treatment; then the symptoms disappeared after 3 days. Conclusions TVT - O is simple, safe, minimally invasive and effective for the surgical treatment of female stress urinary incontinence .

关 键 词：尿失禁 压力性 阴道 

分 类 号：R699[医药卫生—泌尿科学]