老年女性经闭孔尿道中段悬吊手术并发症的危险因素分析

发布时间：2018-03-19 00:30

本文选题：压力性尿失禁　切入点：经闭孔尿道中段悬吊术　出处：《中国老年学杂志》2017年19期 　论文类型：期刊论文

【摘要】：目的探讨老年女性压力性尿失禁(SUI)患者经闭孔尿道中段无张力悬吊手术(TVT-O)并发症的危险因素。方法回顾性分析82例老年女性SUI患者的临床资料,采用单因素分析患者一般情况、合并疾病、既往手术史、检查结果、留置导尿管时间、对术后早期并发症的影响,采用Logistic回归分析对老年女性TVT-O并发症的危险因素进行分析。结果 82例术后随访6~18个月,平均(13.22±4.14)个月。20例出现并发症。多因素分析结果显示,留置导尿管时间(χ~2=1.230,P=0.003)、术前最大尿流率15 ml/s(χ~2=0.823,P=0.018)、合并糖尿病(χ~2=1.115,P=0.008)、营养状况(χ~2=0.997,P=0.026)是老年女性SUI患者TVT-O并发症的独立危险因素。结论明确老年患者TVT-O手术并发症的危险因素,对可能的高危人群术前进行全面的检查和积极的干预,缩短术后留置尿管的时间以减少或避免手术并发症的发生。
[Abstract]:Objective to investigate the risk factors of complications of TVT-O in elderly female patients with stress urinary incontinence (sui). Methods the clinical data of 82 elderly women with SUI were retrospectively analyzed. The risk factors of TVT-O complications in elderly women were analyzed by Logistic regression analysis. Results 82 cases were followed up for 6 ~ 18 months after operation, including the disease, the history of operation, the results of examination, the time of indwelling urethral catheter, the influence of early postoperative complications, and the risk factors of TVT-O complications in elderly women by Logistic regression analysis. The mean number of complications was 13.22 卤4.14 months. The time of indwelling urethral catheter (蠂 ~ (2)) was 1.230 (P ~ (0.003)), the preoperative maximum urinary flow rate was 15 ml / s (蠂 ~ (2 / 2)) 0.823 / P ~ (0.018), diabetes mellitus (蠂 ~ (2) 1.115), nutritional status (蠂 ~ (2) 2 / 0. 997 / P ~ (0.026)) were independent risk factors of TVT-O complications in elderly women with SUI. Conclusion the risk factors of TVT-O complications in elderly patients were determined. Comprehensive examination and active intervention were carried out before operation to shorten the time of indwelling urethral catheter after operation in order to reduce or avoid the complications of operation.
【作者单位】：郑州大学第一附属医院;
【基金】：河南省医学科技攻关项目(No.201503H015)
【分类号】：R699.7

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