无张力阴道吊带术微创治疗女性压力性尿失禁

目的:评价无张力阴道吊带术(TVT)治疗女性压力性尿失禁的疗效。方法:对21例压力性尿失禁或混合性尿失禁的女性患者进行了TVT手术治疗。结果:平均手术时间38min(35～45min),术后平均住院天数3.5d(2～5d)。18例单纯性SUI患者治愈17例,治愈率94.4%,显效1例(5.6%);3例混合性尿失禁患者中治愈2例,显效1例。膀胱穿孔1例,经积极处理后痊愈。21例随访均无SUI复发。结论:TVT手术因其简单、微创、疗效好、并发症少,目前可作为女性压力性尿失禁手术治疗的首选术式。

Treatment of Female Stress Urinary Incontinence with Tension-Free Vaginal Tape

Objective:To evaluate the outcome of tension-free vaginal tape(TVT) in treatment of female stree urinary incontinence.Methods:A prospective open study was conducted using TVT for stress or mixed Urinery incontinence.Results:The mean operation time was 38min(35~45min).The mean postoperative hospital stay was 3.5d(2~5d).During a follow-up,no SUI recurred.of the 18 women with geuine SUI 17(94.4%) were cured and 1(5.6%)had improvement;of the 3 women with mixed incontinence,2 were cured and 1 had significant improvement.Vesical perforation(1 case),and cleared up after treating.None of the 21 cases had incontinence after surgery.Conclusions:TVT is a simple,reliable,mini-invasive procedure with low incidence of comlications.It can be used firstly for treating female stress urinary incontinence.