尿道无张力悬吊术联合改良阴道后壁修补术在女性压力性尿失禁中的应用研究  

Study on the application of tension-free urethralsuspension surgery combined with modified posterior vaginal wall repair in the treatment of female stress urinary incontinence

作　　者：江长琴[1] 罗明 王铭 王辉[1] 梁朝朝[1] JIANG Chang-qin;LUO Ming;WANG Ming;WANG Hui;LIANG Chao-zhao(Department of Urology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,China)

机构地区：[1]安徽医科大学第一附属医院泌尿外科,安徽合肥230022

出　　处：《实用医院临床杂志》2025年第2期14-17,共4页Practical Journal of Clinical Medicine

基　　金：安徽省高等学校省级质量工程项目(编号:2020jyxm0877)。

摘　　要：目的探讨尿道无张力悬吊术联合改良阴道后壁修补术在女性压力性尿失禁中的应用研究。方法选取2024年1~9月在我院就诊的女性压力性尿失禁合并轻中度盆底脱垂或阴道松弛患者,行尿道无张力悬吊术联合改良阴道后壁修补术,分析术后疗效。结果46患者手术顺利,术中出血少,术后第一天拔除导尿管,排尿均顺畅,切口愈合良好。术后随访3~9月,所有患者尿控可,性满意度高,查体盆腔脏器脱垂程度较前改善,阴道紧缩度较前明显改善。结论尿道无张力悬吊术联合改良阴道后壁修补手术疗效安全,对于合并轻中度膀胱膨出或阴道松弛患者,该联合术式在达到良好控尿的同时,可同期改善阴道松弛、盆底脱垂,达到整体修复的目的,在女性压力性尿失禁合并轻中度盆底脱垂或阴道松弛的的患者中推荐应用。Objective To investigate the application of tension-free urethral suspension surgery combined with modified vaginal wall repair in the treatment of female stress urinary incontinence.Methods Female patients with stress urinary incontinence complicated with mild to moderate pelvic floor prolapse or vaginal laxity in our hospital from January to September 2024 were selected. The patients underwent the urethral tension-free suspension surgery combined with modified vaginal wall repair surgery. The postopera-tive efficacy was analyzed. Results Forty-six patients had smooth surgery with minimal intraoperative bleeding. On the first day after surgery, the catheter was removed and urination was smooth. The incision healing was good. The patients were followed-up from 3 to 9 months after surgery. All patients had good urinary control, high sexual satisfaction and improved pelvic organ prolapse and vaginal tightness compared to before surgery. Conclusions Urethral tension-free suspension surgery combined with modified vaginal wall repair surgery are effective and safe. For patients with mild to moderate bladder prolapse or vaginal laxity,this combined surgery can not only achieve good urinary control, but also improve vaginal relaxation and pelvic floor prolapse at the same time, achieving the purpose of o-verall repair. It is recommended to be used in female stress urinary incontinence patients with mild to moderate pelvic floor prolapse or vaginal laxity.

关 键 词：压力性尿失禁 阴道松弛 盆底脱垂 阴道修补 

分 类 号：R69[医药卫生—泌尿科学]