老年女性压力性尿失禁两种尿道吊带手术治疗对比

发布时间：2018-10-31 09:22

【摘要】：目的对比观察经阴道无张力尿道吊带术(TVT)和经闭孔阴道无张力尿道吊带术(TVT-O)治疗老年女性压力性尿失禁的临床疗效、安全性和对患者生活质量的影响。方法 92例老年压力性尿失禁女性患者按照随机数字表法分为观察组和对照组,每组46例,对照组患者采用TVT,观察组采用TVT-O,对比观察两组治疗效果、手术时间和术中失血量、术后并发症以及手术前后生活质量的变化;生活质量采用盆底功能影响问卷简表7(PFIQ-7)、排尿困扰量表(UDI-6)和尿失禁影响程度相关问卷(IIQ-7)评价。结果观察组治愈率高于对照组,但差异无统计学意义(P0.05);观察组手术时间短于对照组,术中失血量少于对照组(P0.05);两组并发症发生率比较无统计学意义(P0.05);两组术后3个月PFIQ-7、UDI-6和IIQ-7评分均较术前显著降低(P0.05),两组间比较无统计学意义(P0.05)。结论 TVT和TVT-O是老年女性压力性尿失禁两种安全有效的尿道吊带手术治疗方法,均能改善患者的生活质量,但TVT-O操作简单,创伤小。
[Abstract]:Objective to compare the clinical efficacy, safety and quality of life of elderly women with stress urinary incontinence treated by transpina tension free urethral sling (TVT) and obturator's vaginal tension free urethral sling (TVT-O). Methods 92 elderly female patients with stress urinary incontinence were randomly divided into two groups: observation group (n = 46) and control group (n = 46). Patients in control group were treated with TVT-O,. The changes of operation time, blood loss, postoperative complications and quality of life before and after operation; Quality of life (QOL) was evaluated by pelvic floor function impact questionnaire (PFIQ-7), urination disturbance scale (UDI-6) and urinary incontinence impact degree questionnaire (IIQ-7). Results the cure rate of the observation group was higher than that of the control group, but the difference was not statistically significant (P0.05), the operation time of the observation group was shorter than that of the control group, and the amount of intraoperative blood loss was less than the control group (P0.05). There was no significant difference in the incidence of complications between the two groups (P0.05); the scores of PFIQ-7,UDI-6 and IIQ-7 in the two groups were significantly lower than those before operation 3 months after operation (P0.05), and there was no significant difference between the two groups (P0.05). Conclusion TVT and TVT-O are two safe and effective methods for the treatment of stress urinary incontinence in elderly women. Both of them can improve the quality of life of the patients, but TVT-O is simple and less invasive.
【作者单位】：新疆医科大学第四附属医院泌尿外科;
【分类号】：R699.7

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