标准TVT-O与改良TVT-O手术治疗女性压力性尿失禁的对照研究

发布时间：2018-10-30 19:38

【摘要】：目的对标准由内向外经闭孔尿道中段无张力悬吊术(TVT-O)与改良TVT-O治疗女性压力性尿失禁(SUI)的疗效进行评估。方法选取2013年1月至2013年12月就诊我院确诊为SUI的女性患者113例,随机分为两组:标准TVT-O组(56例)和改良TVT-O组(57例),对两组的手术安全性、短期疗效及并发症进行前瞻性分析。结果标准TVT-O组双侧闭孔膜至皮肤穿出点所植入吊带长度、术中平均出血量大于改良TVT-O组;术后大腿内侧疼痛平均NRS疼痛评分标准TVT-O组显著高于改良TVT-O组(P0.05)。两组患者手术时间、术后导尿时间、平均住院时间无统计学差异;术后吊带位置及双侧闭孔膜至尿道间所植入吊带形态及位置无统计学差异(P0.05);手术疗效无明显统计学差异(P0.05)。结论标准TVT-O术与改良TVT-O术均可有效治疗女性SUI;改良TVT-O术吊带穿过内收肌群路径缩短、出血减少,可显著减少患者术后疼痛等并发症,进一步提高生活质量。
[Abstract]:Objective to evaluate the efficacy of TVT-O and modified TVT-O in the treatment of female stress urinary incontinence (SUI). Methods 113 female patients with SUI from January 2013 to December 2013 were randomly divided into two groups: standard TVT-O group (56 cases) and modified TVT-O group (57 cases). The short-term efficacy and complications were analyzed prospectively. Results in the standard TVT-O group, the length of the sling implanted from the bilateral obturator membrane to the skin perforating point was larger than that in the modified TVT-O group. The mean NRS pain score of medial thigh pain in TVT-O group was significantly higher than that in modified TVT-O group (P0.05). There was no significant difference in the operation time, postoperative catheterization time and average hospitalization time between the two groups, and there was no significant difference in the position of the sling and the shape and location of the sling implanted between the bilateral obturator membrane and the urethra (P0.05). There was no significant difference in the effect of operation (P0.05). Conclusion both the standard TVT-O procedure and the modified TVT-O procedure can be effective in the treatment of female SUI; modified TVT-O sling through the adductor muscle group path shortening bleeding can significantly reduce postoperative pain and other complications and further improve the quality of life.
【作者单位】：西安交通大学第二附属医院泌尿外科;西安交通大学第二附属医院超声科;西安交通大学第二附属医院妇产科;
【分类号】：R713

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