TVT-O及TVT治疗老年女性压力性尿失禁的临床疗效比较  

Clinical comparison on efficacy of tension-free vaginal tape and transobturator tension-free vaginal tape in old female patients with stress urinary incontinence

作　　者：陈泽波[1] 来永庆[1] 史本涛[1] 魏本林[1] 李文华[1] 关志忱[1] 

机构地区：[1]北京大学深圳医院泌尿外科,广东深圳518036

出　　处：《临床和实验医学杂志》2012年第1期20-23,共4页Journal of Clinical and Experimental Medicine

摘　　要：目的比较经闭孔经阴道尿道中段无张力悬吊术(TVT-O)和经耻骨后经阴道尿道中段无张力悬吊术(TVT)治疗老年女性压力性尿失禁(SUI)的临床疗效。方法 67例老年女性压力性尿失禁患者分别行TVT手术及TVT-O手术治疗,术后使用Grouts-Blaivas评分法评价治疗效果,采用自制问卷进行手术前及手术后3月、1年的生活质量进行评定,并对TVT手术及TVT-O手术的手术时间和出血量进行比较。结果两种方法的临床疗效及并发症比较差异无统计学意义(P>0.05);手术后患者心理健康、生理健康、社会活动均有明显的改善(P<0.01)。两种方法在手术时间和术中出血量方面的差异有统计学意义(P<0.01)。结论 TVT-O及TVT治疗老年女性压力性尿失禁的安全有效性相似,均能有效地提高老年女性患者的生活质量。但是在手术时间和术中出血量上:TVT-O优于TVT。Objective To compare the outcome of surgical treatment of female stress urinary incontinence （SUI） with tension - free vaginal tape （TVT） and transobturator tension - free vaginal tape （ TVT - O） and to estimate the change in life quality of old female patients with SUI before and after surgical treatment. Meanwhile, the time and volume of blood loss in operation were compared. Methods A total of 67 women with SUI were assigned to undergo either TVT or TVT - O surgery. Therapeutic effect was evaluated according to classification of Grouts - Blaivas out- come scores. The evaluation of change in life quality before and after surgical treatment was based on the influence of incontinence to quality of life in stress （ I - QOL）. Results Both TVT and TVT - O have advantages of reliability and mini - invasiveness. The efficacy of TVT is similar to that of TVT- O （ P 〉0.05 ）. After operation, the status of mental health, physiological health, social activity and family condition of patients had been improved respectively （allP 〈0.01 ）, expect their sexual function. Meanwhile, the operation time in TVT group is longer than that of TVT - 0 group, and the volume of blood loss in TVT group is more than that of TVT - O group. Conclusion The tension - free urethral suspension is effective and safe for treatment of SUI in old women and it may improve their life quality. The operation time of TVT group is longer than that of TVT - O group, and the volume of blood loss in TVT group is more than that of TVT - O group.

关 键 词：老年女性 压力性尿失禁 经闭孔经阴道尿道中段无张力悬吊术 经耻骨后经阴道尿道中段无张力悬吊术 

分 类 号：R699[医药卫生—泌尿科学]