| 闫骏 朱小军 斯钦布和 王国强 黄勇.经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁3 年随访分析[J].,2015,15(8):1488-1491 |
| 经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁3 年随访分析 |
| Follow-up of 3 Years of Follow-up for Transobturator Tension-free VaginalTape Treatment on Female Stress Urinary Incontinence |
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| DOI： |
| 中文关键词: 经闭孔无张力尿道中段悬吊术 压力性尿失禁 妇科 中期疗效 |
| 英文关键词: Tansobturator tension-free vaginal tape Stress urinary incontinence Gynecology Mid-termtherapeutic effect |
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| 中文摘要: |
| 目的：探讨经闭孔无张力尿道中段悬吊术（TVT-O 术）治疗女性压力性尿失禁的中期疗效。方法：选择2007 年5 月-2011 年
5 月于我院行TVT-O 术治疗压力性尿失禁女性患者172 例，应用压力性实验评估术前及术后短期疗效，持续3 年的随访，分析中
期疗效、尿流动力学参数、术后生活质量等重要数据。结果：术后1 年，患者主观治愈率为93.0%，客观治愈率为94.8%，术后3 年
主观治愈率为91.3%，客观治愈率为93.0%，术后1 年与术后3 年比较均无统计学意义（均P＞0.05）；术后1、3 年自我感觉模糊数
字评分、I-QOL评分、最大流速及残余尿量较术前均有改善，差异均有统计学意义（均P＜0.05）；而术后1 年与术后3 年比较差异
均无统计学意义（均P＞0.05）；随访期间主要并发症为腹股沟疼痛及排尿困难，均可控，未严重影响预后。结论：TVT-O治疗女性
压力性尿失禁的中期疗效良好，并发症低，安全可靠,具备推广价值。 |
| 英文摘要: |
| Objective:To investigate the mid-term therapeutic effect of transobturator tension-free vaginal tape (TVT-O) treatment
for female stress urinary incontinence.Methods:A total of 172 case of female stress urinary incontinence patients treated by TVT-O
between May 2007 and May 2011 were selected. Short term efficacy of before and after operation were evaluated by pressure
experiment, after following up for 3 years, mid-term therapeutic effect, urine flow dynamic parameters, the postoperative quality of life
and other important data were analyzed.Results:One year after operation, the subjective cure rate was 93%, and the objective cure rate
was 94.8%. While 3 years after operation, the subjective cure rate was 91.3%, and the objective curative rate was 93%. The difference
showed no significance between 1 year and 3 years after surgery (all P>0.05); 1,3 years after operation, score for feeling fuzzy, I-QOL
score, maximum flow rate and residual urine volume were significantly improved, and the differences were statistically significant (P＜
0.05), but there was no difference between data of 1 year after operation and 3 years after operation (P>0.05); the main complications
during follow-up were groin pain and dysuria, which were controllable with no severe effects.Conclusion:TVT-O have good curative
effect for female stress urinary incontinence, with less complications. It is safe and reliable and is worth promoting. |
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