经会阴二维及三维超声检查观察压力性尿失禁患者TVT-O术后吊带

目的应用经会阴二维及三维超声检查观察压力性尿失禁患者TVT-O(经闭孔、阴道无张力吊带)术后吊带位置、形态及活动情况。方法收集在我院接受TVT-O手术治愈的压力性尿失禁患者32例,术后3个月对患者行经会阴二维及三维超声检查,观察吊带在静息和Valsalva时的位置、形态和活动情况。结果 TVT-O吊带多位于尿道中下1/3交界处;Valsaval时尿道长度和吊带近端与膀胱颈之间尿道的实际长度较静息时变长;从吊带到耻骨联合的距离来看,Valsaval时较静息时吊带向前下方移动,而吊带的成角变小,但差异均无统计学意义。结论经会阴二维及三维超声检查可用于TVT-O术后吊带位置、形态和活动情况的观察。Valsalva时吊带的位置和形态改变不明显,但可在尿道中段形成闭合效应,加强控尿机制。

Observation of the tape after TVT-O surgery using two and three dimensional ultrasonography in the patients with stress urinary incontinence

Objective To observe the position and mobility of the tape after tension-free vaginal tape-obturator(TVT-O) surgery using transperineal two and three dimensional ultrasonography in patients with stress urinary incontinence. Methods A total of 32 patients with stress urinary incontinence who had TVT-O surgery and cured were enrolled. Transperineal two and three dimensional ultrasonography were performed after operation 3 months later. Both the position,morphology and mobility of the tape at rest and during V...