TVT-O与单切口TVT-S手术后患者生活质量和性功能的比较研究

发布时间：2018-05-27 07:15

  本文选题：性功能障碍 + 生理性　； 参考：《重庆医学》2017年24期

【摘要】：目的比较经闭孔的第二代吊带(TVT-O)和第三代尿道中段吊带(TVT-S)两种术式术后患者的生活质量及性功能改变。方法 53例未合并盆腔器官脱垂的压力性尿失禁患者(尿道高活动性)随机分组在广州医科大学附属第二医院完成了TVT-O和TVT-S(H型)手术。所有患者在术前及术后填写中文版尿失禁生活影响问卷简版(ⅡQ-7)和中文版盆腔器官脱垂与尿失禁性功能问卷简版(PISQ-12)。结果术后12个和24个月的回访结果显示,两种术式的治愈率差异无统计学意义。TVTO治疗组出现2例血肿。TVT-S治疗组手术时间短于TVT-O组(P0.05)。TVT-O组术后大腿或腹股沟疼痛发生率高于TVT-S组(P0.05)。两组患者术后ⅡQ-7评分均明显改善(P0.01)。在TVT-S组中,PISQ-12评分术前平均为(30.4±5.5)分,术后12个月(33.7±3.5)分,术后明显改善(P=0.027)。而在TVT-O组中,PISQ-12评分术前与术后差异无统计学意义。结论TVT-O组中,患者术后腹股沟疼痛发生率高于TVT-S组;TVT-S术后可改善患者的生活质量和性功能。
[Abstract]:Objective to compare the quality of life (QOL) and sexual function between the second generation sling (TVT-O) and the third generation (TVT-S). Methods 53 patients with stress urinary incontinence (urethral hyperactivity) without pelvic organ prolapse were randomly assigned to perform TVT-O and TVT-S(H operations in the second affiliated Hospital of Guangzhou Medical University. All the patients completed the Chinese version of urinary incontinence life impact questionnaire (II Q-7) and the Chinese version of the simple version of pelvic organ prolapse and urinary incontinence functional questionnaire PISQ-12 before and after operation. Results the results of 12 and 24 months follow-up showed that there was no significant difference in the cure rate between the two groups. The operative time of two cases of hematoma in TVT-S group was shorter than that in TVT-O group (P 0.05). The incidence of postoperative thigh or groin pain in TVTO group was higher than that in TVT-S group (P 0.05). The score of 鈪，

本文编号：1940994