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TVT-O治疗女性压力性尿失禁21例报告 被引量:6

TVT-O procedure for the treatment of 21 cases of stress urinary incontinence
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摘要 目的对经闭孔入路经阴道尿道中段无张力悬吊术(transobturator vaginal tape,TVT-O)治疗女性压力性尿失禁(stress urinaryincontinence,SUI)的疗效进行评价。方法回顾性分析2007年3月~2009年2月采用TVT-O术式治疗女性SUI的临床资料21例。结果手术时间20~40 min,平均30 min,术中出血20~60 mL,平均40 mL。1例术后排尿困难,保留尿管5 d后自行排尿。21例治愈,随访3~12个月,平均6个月,无1例复发。结论TVT-O治疗女性SUI操作简单,效果可靠,并发症少,是一种较为理想的方法。 Objective To evaluate the methods and results of the transobturator vaginal tape inside-out (TVT-O) for the treatment of female stress incontinence (SUI). Methods The data of 21 cases of female stress urinary incontinence treated by TVT-O procedure from March 2007 to Feb. 2009 were analyzed retrospectively. Results The average operating time was 30 rain (20-40 minutes) and average blood loss was 40 mL (20-60 mL). An indwelling catheter had been used for 5 d because of urinary retention in 1 case. All of the patients were successfully cured and normal voiding without complications was achieved postoperatively with average follow-up of 6 month (3-12 months). Conclusion TVT-O for the treatment of female urinary stress incontinence was simple and effective with fewer complications.
出处 《现代泌尿外科杂志》 CAS 2009年第6期416-418,共3页 Journal of Modern Urology
关键词 压力性尿失禁 女性 无张力悬吊术 stress incontinence female transobturator vaginal tape
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参考文献8

  • 1HAMPEL C, ARTIBANI W, ESPUNA PONS M, et al. Understanding the burden of stress urinary incontinence in Europe: a qualitative review of the literature [J]. Eur Urol, 2004, 46 (1): 15-27.
  • 2ARACO F, GRAVANTE G, SORGE R, et al. TVT-O vs TVT:a randomized trial in patients with different degrees of urinary stress incontinence [J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(7):917-926.
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  • 4ULMSTEN U, HENRIKSSON L, JOHNSON P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence [J].Int Urogynecol J Pelvic Floor Dysfuct, 1996, 7(2):81.
  • 5JEFFRY L, DEVAL B, BIRSAN A, et al. Objective and subjective cure rates after tension-free vaginal tape for treatment of urinary incon-tinence [J]. Urology, 2001, 58 (5) :702-706.
  • 6DE LEVAL J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out [J]. Eur Urol, 2003, 44(6):724-730.
  • 7WALTREGNY D, GASPAR Y, REUL O, et al. TVT-O for the treatment of female stress urinary incontinence: results of a prospective study after a 3-year minimum follow-up [J]. Eur Urol, 2008, 53(2):401-408.
  • 8BALLERT KN, KANOFSKY JA, NITTI VW, et al. Effect of tension-free vaginal tape and TVT-obturator on lower urinary tract symptoms other than stress urinary incontinence [J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(3) :335-340.

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