Ajust^(TM)吊带和TVT治疗压力性尿失禁近期疗效比较  

Comparison of the recent curative efficacy of Ajust^(TM) sling and TVT in the treatment of stress urinary incontinence

作　　者：胡显辉 张尧[1] 何云锋[1] 姚南 徐浩语 

机构地区：[1]重庆医科大学附属第一医院泌尿外科,400016

出　　处：《重庆医学》2017年第32期4544-4545,4549,共3页Chongqing medicine

摘　　要：目的探讨单切口可调节尿道中段悬吊术(Ajust^(TM)吊带)和经耻骨后尿道中段悬吊术(TVT)在治疗女性压力性尿失禁的疗效与安全性。方法回顾性分析该院2011年1月至2015年12月共88例压力性尿失禁患者,其中TVT 62例,Ajust^(TM)吊带26例。根据病史、查体、膀胱镜检查、尿流率测定、诱发试验、尿失禁问卷表简表(ICI-Q-SF)评分等明确诊断及分度。并对所有患者术后6个月随访尿流率、诱发试验、ICI-Q-SF问卷调查。结果 Ajust^(TM)吊带组平均手术时间(10.0±4.2)min少于TVT组(50.0±12.6)min(P<0.01),Ajust^(TM)吊带组术中并发症发生率3.8%低于TVT组6.5%(P<0.05);近期两组的客观治愈率、主观满意度、术中失血量、术后新发OAB、排尿困难、会阴不适、性交不适差异无统计学意义(P>0.05)。结论单切口可调节Ajust^(TM)吊带较TVT在治疗女性压力性尿失禁中更简单、安全、有效。Objective To evaluate the efficacy and safety of adjustable single-incision sling（Ajust^TM）and tension-free vaginal tape（TVT） in the treatment of female stress urinary incontinence（SUI）.Methods A total of 88 cases with SUI in our department from January 2011 to December 2015 was retrospectively analyzed,including 62 TVT cases and 26 Ajust^TMcases.The definite diagnose and grading were based on the medical history,physical examination,cystoscopy,uroflowmetry,provocative test and ICI-Q-SF.All cases were followed up on 6 months after surgery and their uroflowmetry,provocative test and ICI-Q-SF were investigated.Results The average operation time of Ajust^TM group,（10.0±4.2）min,was shorter than that of TVT group,（50.0±12.6）min（P〈0.01）,and the incidence of operative complications in Ajust^TM group（3.8%）was less than that in TVT group（6.5%）,with significant difference（P〈0.05）;The application of these two methods in recent cases showed no significantly statistical difference in objective cure rate,subjective satisfaction,intraoperative blood loss,new-onset OAB,dysuria,perineum discomfort and dyspareunia（P〈0.05）.Conclusion Ajust^TMapplied in the treatment of SUI has more advantages than TVT over simplicity,efficiency and safety.

关 键 词：尿失禁 压力性 经耻骨后尿道中段悬吊术 单切口可调节尿道中段悬吊术 治疗结果 

分 类 号：R699.7[医药卫生—泌尿科学]