标准TVT-O术与改良TVT-O术治疗女性压力性尿失禁的疗效评估

标准TVT-O术与改良TVT-O术治疗女性压力性尿失禁的疗效评估

赵亚伟,汤磊,李前跃,王砺,唐雪亭,李志坤

新疆生产建设兵团医院新疆乌鲁木齐 830002,新疆生产建设兵团医院新疆乌鲁木齐 830002,新疆生产建设兵团医院新疆乌鲁木齐 830002,新疆生产建设兵团医院新疆乌鲁木齐 830002,新疆生产建设兵团医院,新疆生产建设兵团医院

收稿日期:2018-06-06 修回日期:2018-06-12 出版日期:2018-05-25

Clinical Efficacy Analysis of TVT-O and Modified TVT-O for Female Stress Urinary Incontinence

ZHAO Yawei,TANG Lei,LI Qianyue,WANG Li,TANG Xueting and LI Zhikun

Xinjiang production and construction corps hospital,Xinjiang production and construction corps hospital,Xinjiang production and construction corps hospital,Xinjiang production and construction corps hospital,新疆生产建设兵团医院,新疆生产建设兵团医院

Received:2018-06-06 Revised:2018-06-12 Online:2018-05-25

摘要/Abstract

摘要： 目的：对经闭孔尿道中段无张力悬吊术(TVT-O)与改良TVT-O术治疗女性压力性尿失禁(stress urinary incontinence，SUI)的临床疗效进行评估。方法：回顾性分析我院泌尿外科2015年1月至2016年12月收治的压力性尿失禁患者57例，其中28例患者行TVT-O手术，29例患者行改良TVT-O手术，对两组患者的手术安全性和短期疗效进行分析。结果：TVT-O组术后平均NRS疼痛评分显著高于改良TVT-O组(P<0.05)。两组患者手术时间、术中平均出血量、术后导尿时间、平均住院时间及术后主客观疗效评价差异无统计学意义(P>0.05)。结论：两种术式治疗女性SUI的短期疗效满意，但远期疗效有待进一步随访观察。改良TVT-O术可降低术后疼痛并发症的发生。

Abstract: Objective： To evaluate the clinical efficacy of tension-free vaginal tape-obturator (TVT-O) and modified tension-free vaginal tape-obturator (modified TVT-O) in the treatment of female stress urinary incontinence(SUI).Methods：The clinical data of 57 cases of SUI treated during January 2015 and December 2016 were retrospectively analyzed，including 28 cases treated with TVT-O， and 29 cases treated with modified TVT-O. We evaluated prospectively the safety and short term efficacy in the two groups.Results：The average NRS pain score TVT-O group was significantly higher than the modified TVT-O group (P<0.05). There was no statistical difference between the two groups of patients in operation time, mean blood loss, postoperative catheterizations, average hospital stay and postoperative subjective and objective outcomes(P>0.05). Conclusion：The short-term efficacy of the two types of treatment for female SUI is satisfactory， but the long-term efficacy is still to be followed up. Modified TVT-O can reduce postoperative pain complication.

赵亚伟,汤磊,李前跃,王砺,唐雪亭,李志坤. 标准TVT-O术与改良TVT-O术治疗女性压力性尿失禁的疗效评估[J]. .

ZHAO Yawei,TANG Lei,LI Qianyue,WANG Li,TANG Xueting and LI Zhikun. Clinical Efficacy Analysis of TVT-O and Modified TVT-O for Female Stress Urinary Incontinence[J]. .

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