单纯TVT-O术与TVT-O术结合电刺激生物反馈治疗女性压力性尿失禁的疗效比较

发布时间：2018-06-09 01:17

本文选题：压力性尿失禁 + 经闭孔无张力尿道中段悬吊术　；参考：《四川大学学报(医学版)》2015年01期

【摘要】：目的探讨单纯经闭孔无张力尿道中段悬吊术(TVT-O术)与TVT-O术结合电刺激生物反馈治疗女性压力性尿失禁(SUI)的疗效。方法将2012年1月至2013年12月120例女性中至重度SUI患者按随机分配表随机分为两组,A组60例单纯采用TVT-O术式,B组60例采用电刺激生物反馈结合TVT-O术疗法(完成TVT-O手术后3个月,接受电刺激生物反馈疗法2个疗程),对所有患者于TVT-O术后1年门诊随访,观察临床症状改善的情况,主观疗效指标包括患者治疗前后72h排尿日记(总排尿次数、总排尿量、总漏尿事件次数)尿失禁相关生活质量问卷(I-QOL)、国际尿失禁咨询委员会尿失禁问卷表简表评分(ICI-Q-SF)。疗效客观指标包括尿流动力学检查(最大尿流、残余尿量)、Valsalva漏尿点压(VLPP)和尿垫试验。结果 B组患者治愈率、显效率较A组升高(88.33%vs.75%和16.67%vs.10%,P均0.05),而无效率较A组降低(1.67%vs.8.33%,P0.05)。B组患者治疗后在总排尿量、I-QOL、ICI-Q-SF、VLPP和尿垫试验方面均优于A组(P0.05)。结论 TVT-O术结合电刺激生物反馈治疗中至重度女性压力性尿失禁有协同作用,疗效优于单纯TVT-O术。
[Abstract]:Objective to investigate the effect of TVT-O combined with TVT-O combined with electrical stimulation biofeedback in the treatment of female stress urinary incontinence. Methods from January 2012 to December 2013, 120 female patients with moderate to severe SUI were randomly divided into two groups: group A (n = 60) and group B (n = 60) were treated with TVT-O operation alone and group B (n = 60) were treated with electrical stimulation biofeedback and TVT-O (3 months after TVT-O operation). All the patients were followed up for 1 year after TVT-O operation to observe the improvement of clinical symptoms. The subjective therapeutic effects included the diaries of voiding 72 hours before and after treatment (total urination times, total urination volume). Total urinary leakage events) urinary incontinence related quality of life questionnaire (I-QOLA), International urinary incontinence Advisory Committee urinary incontinence questionnaire summary table score ICI-Q-SFFFA. Objective indexes of curative effect included urodynamic examination (maximum flow, residual urine volume, Valsalva leak point pressure VLPP) and urine pad test. Results the cure rate of group B was significantly higher than that of group A (88.33 vs 75% and 16.67 vs 10) respectively (P 0.05), but the inefficiency was lower than that of group A (1.67 vs.8.33 P 0.05%) in the total urination volume (I-QOLV ICI-Q-SFV VLPP) and urine pad test (P 0.05). Conclusion TVT-O combined with electrical stimulation biofeedback has synergistic effect on moderate to severe female stress urinary incontinence, and the curative effect is better than that of TVT-O alone.
【作者单位】：四川大学华西第二医院妇产科;
【分类号】：R711.59

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