自制可调TVT吊带术后腹压漏尿点压和最大尿道闭合压变化分析  

Analysis of abdominal leak point pressure and maximum urethral closure pressure after TVT procedure with Self-made adjustable vaginal tape

作　　者：张昊[1] 张君[1] 金勐[1] 岳俊敏[1] 万久恺[1] 范锐[1] 

机构地区：[1]郑州大学附属郑州中心医院泌尿外科,郑州450007

出　　处：《河南外科学杂志》2015年第1期14-16,共3页Henan Journal of Surgery

摘　　要：目的观察自制可调TVT吊带术后腹压漏尿点压(VLPP)和最大尿道闭合压(MCP)变化,探讨自制TVT吊带临床效果。方法女性压力性尿失禁患者134例,术前行尿流动力学检查测定VLPP、MCP,行自制TVT吊带手术治疗后随访患者再次检测VLPP和MCP,分析检查结果。结果按照世界尿控协会(ICS)标准有39例患者未检出VLPP,剩余95例患者VLPP手术前为(77.2±21.6)cm H2O(1cm H2O=0.098 k Pa),手术后为(99.7±26.3)cm H2O,二者比较差异具有统计学意义(P<0.05)。MCP手术前(32.5±14.3)cm H2O,手术后(57.2±13.3)cm H2O,二者差异具有统计学意义(P<0.05)。结论自制TVT吊带术后可以取得较满意的手术效果,并具有灵活的术后调整性,较传统手术具有自身优势。Objective To observe the variation of maximum urethral closure pressure and abdominal leak point pressure after TVT procedure with Self- made adjustable vaginal sling,and study the clinical effect. Methods Totally 134 cases female patients with stress urinary incontinence（ SUI） were enrolled,VLPP,MCP were measured by urodynamics examination before and after TVT operation,and analyze the pre- operation and follow- up data. Results 39 patients can not examined with VLPP by urodynamics examination according to the International Continence Society（ ICS） criteria,the remaining 95 cases with VLPP after comparation in the pre- operation（ 77. 2 ± 21. 6） cm H2O（ 1 cm H2 O = 0. 098 k Pa） and post- operation（ 99. 7 ± 26. 3） cm H2 O showed the difference was statistically significant（ P〈0. 05）. MCP pre- operation（ 32. 5 ± 14. 3） cm H2 O compared with post- operation（ 57. 2 ± 13. 3） cm H2 O,the difference was statistically significant（ P〈0. 05）. Conclusion Self- made TVT tape can provide satisfactory effects to patients after surgery,and has flexible advantages of postoperativeadjustment which are superior to traditional surgery.

关 键 词：压力性尿失禁 尿道中段悬吊术 最大尿道闭合压 腹压漏尿点压 

分 类 号：R695[医药卫生—泌尿科学]