干旱区生态环境知识资源中心(Arid): 无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床观察

Arid

	无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床观察
其他题名	A comparative study on treating femal stress urinary incontinence with TVT-Abbrevo and TVT-Obturator
	李卫林; 卢子文; 李飞平; 俞洪元
来源期刊	中华医学杂志
ISSN	0376-2491
出版年	2016
卷号	96 期号:28 页码:2238-2240
中文摘要	目的观察并比较经闭孔无张力尿道悬吊改良术(TVT-Abbrevo)与无张力尿道中段悬吊带术(TVT-O)治疗女性压力性尿失禁的疗效。方法选取温州医科大学附属台州医院2012年11月至2013年11月收治的女性压力性尿失禁患者117例,行TVT-Abbrevo术79例,行TVT-O术38例,观察手术效果及并发症。结果117例中,107例患者尿失禁症状完全消失,10例好转:其中TVT-Abbrevo组治愈72例(91.1%),好转7例(8.9%); TVT-O组治愈35例(92.1 %),好转3例(7. 9%);两组的治愈率比较差异无统计学意义(P >0.05)。术后24 h及术后1周TVT-Abbrevo组发生大腿内侧疼痛的例数低于TVT-O组,两组在术后24 h及术后1周的疼痛发生率比较差异均有统计学意义(均P <0.05);术后1个月及术后1年TVT-Abbrevo组疼痛发生率与TVT-Obturator组比较,差异无统计学意义(P>0.05)。两组手术术中均无血管、神经、膀胱损伤,术后均无耻骨后血肿、吊带腐蚀等其他并发症发生。随访1年,均无复发。结论TVT-Abbrevo与TVT-O手术方法及疗效相当,均是治疗女性压力性尿失禁患者的有效方法;TVT-Abbrevo术式可降低患者术后近期的大腿内侧疼痛发生率。
英文摘要	Objective To compare the effectiveness and complications of TVT-Abbrevo (tension-free vaginal tape-Abbrevo) and TVT-Obturator (tension-free vaginal tape-obturator) for the treatment of female stress urinary incontinence (SUI). Methods From Nov. 2012 to Nov. 2013,117 patients suffering from SUI were treated with TVT-Abbrebo (n = 79) or TVT-Obturator (n =38) procedure,the clinical efficacy and operation-correlated complications were observed. Results A total of 117 cases, 107 cases of urinary incontinence symptoms disappeared completely, 10 oases were improved. 72 cases (91. 1%) were cured and 7 cases (8. 9%) were improved in TVT-Abbrevo group; 35 cases (92. 1%) were cured and 3 cases (7. 9%) were improved in TVT-Obturator group. No significant differences could be found for the curing rates between two groups (P > 0. 05). Compared with the TVT-Obturator group,the TVT-Abbrevo group had less patients complaining of inner thigh pain at 24 h and 1 w after surgery (P < 0. 05). No significant differences were observed for the incidence of inner thigh pain at 1m and 1y after surgery between TVT-Abbrevo and TVT-Obturator group (P > 0.05). No intraoperative complications such as blood vessel, nerve, bladder damage were recorded and no postoperative retropubic hematoma, tape adjustment and other complications occurred in two goups. No recurrence after 1 year follow-up. Conclusions The study shows that TVT-Abbrevo procedure is safe and efficacy in treatment of SUI,and associated with low incidence of recent postoperative inner thigh pain.
中文关键词	女性压力性尿失禁
英文关键词	TVT-Abbrevo TVT-Obturator Stress urinary incontinence Tension-free vaginal tape-Abbrevo Tension-free vaginal tape-obturator
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:5761314
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/235555
作者单位	温州医科大学附属台州医院泌尿外科, 临海, 浙江 317000, 中国
推荐引用方式 GB/T 7714	李卫林,卢子文,李飞平,等. 无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床观察[J],2016,96(28):2238-2240.
APA	李卫林,卢子文,李飞平,&俞洪元.(2016).无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床观察.中华医学杂志,96(28),2238-2240.
MLA	李卫林,et al."无张力尿道悬吊改良术与尿道中段悬吊带术治疗女性压力性尿失禁的临床观察".中华医学杂志 96.28(2016):2238-2240.