经闭孔无张力尿道中段吊带术治疗女性压力性尿失禁的临床疗效及患者对性生活的影响  

Clinical effect and influence on sexual life of stress urinary incontinence in womene treated by trans obturator tape

作　　者：沈剑 张鸽[1] 孙立国 SHEN Jian;ZHANG Ge;SUN Liguo(Department of Urinary Surgery,Changshu Second People's Hospital,Suzhou,Jiangsu,215500,China)

机构地区：[1]常熟市第二人民医院泌尿外科,江苏苏州215500

出　　处：《当代医学》2022年第34期21-24,共4页Contemporary Medicine

摘　　要：目的探讨经闭孔无张力尿道中段吊带术(TOT)治疗女性压力性尿失禁的临床疗效及对患者性生活的影响。方法选取2014年6月至2021年6月常熟市第二人民医院泌尿外科收治的36例压力性尿失禁患者作为研究对象,随机分为研究组与对照组,每组18例。对照组采用自体阔筋膜尿道悬吊手术治疗,研究组采用TOT治疗,比较两组临床疗效、手术时间、术中出血量、术后住院时间、并发症发生情况及治疗前后性生活质量评分。结果研究组治疗总有效率为94.44%,明显高于对照组的66.67%,差异有统计学意义(P<0.05)。研究组手术时间、术后住院时间均明显短于对照组,术中出血量明显少于对照组,差异有统计学意义(P<0.05)。治疗后,两组伴侣因素、生理因素及情感因素评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率为5.56%,明显低于对照组的20.00%,差异有统计学意义(P<0.05)。结论TOT治疗压力性尿失禁临床疗效显著,可减少患者术后出血量,缩短手术时间及术中住院时间,一定程度上可提升患者性生活质量,安全性较高,值得临床推广应用。Objective To investigate the clinical effect and influence on sexual life of stress urinary incontinence in women treated by trans obturator tape(TOT).Methods 36 patients with stress urinary incontinence admitted to the department of Urology,Changshu Second People's Hospital from June 2014 to June 2021 were selected as the research subjects,and they were randomly divided into study group and control group,with 18 cases in each group.The control group was treated with autogenous fascia lata urethral sling,and the study group was treated with TOT,the clinical efficacy,operation time,intraoperative blood loss,postoperative hospital stay,complications and sexual life quality scores before and after treatment were compared between the two groups.Results The total effective rate of the study group was 94.44%,which was significantly higher than 66.67%in the control group,and the difference was statistically significant(P<0.05).The operation time and postoperative hospital stay in the study group were significantly shorter than those in the control group,and the intraoperative blood loss was significantly less than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of partner factor,physiological factor and emotional factor of the two groups were higher than those before treatment,and those in the study group were higher than the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the study group was 5.56%,which was significantly lower than 20.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion TOT has the significant clinical effect in the treatment of stress urinary incontinence,which can reduce the amount of postoperative bleeding,shorten the operation time and postoperative hospital stay,and improve the quality of sexual life quality to certain extent,with night safety,which is worthy of clinical application.

关 键 词：经闭孔无张力尿道中段吊带术 压力性尿失禁 临床疗效 性生活 

分 类 号：R713[医药卫生—妇产科学]