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TVT-O治疗女性压力性尿失禁16例临床分析
引用本文:刘晓忠,侯建全,魏雪栋.TVT-O治疗女性压力性尿失禁16例临床分析[J].海南医学,2012,23(9):72-74.
作者姓名:刘晓忠  侯建全  魏雪栋
作者单位:刘晓忠 (苏州大学附属第一医院泌尿外科,江苏 苏州,215006) ; 侯建全 (苏州大学附属第一医院泌尿外科,江苏 苏州,215006) ; 魏雪栋 (苏州大学附属第一医院泌尿外科,江苏 苏州,215006) ;
摘    要:目的探讨经闭孔无张力尿道悬吊术(TVT-O)治疗女性压力性尿失禁(SUI)的临床效果。方法对16例SUI患者进行TVT-O治疗。结果手术时间25~45min,平均30min,术中出血10~50ml,平均30ml。3d拔管后尿失禁消失16例,2例患者术后出现腹股沟处疼痛或不适,1例患者出现膀胱过度活动症,对症治疗后缓解,无其他并发症出现。随访1~12个月,无一例复发。结论 TVT-O手术是治疗女性压力性尿失禁的一种较理想的手术方法,其并发症发生率低,且可防可治。

关 键 词:经闭孔无张力尿道悬吊术  压力性尿失禁  适应证  并发症及其处理

TVT-O procedure for the treatment of stress urinary incontinence (Report of 16 cases)
LIU Xiao-zhong,HOU Jian-quan,WEI Xue-dong.TVT-O procedure for the treatment of stress urinary incontinence (Report of 16 cases)[J].Hainan Medical Journal,2012,23(9):72-74.
Authors:LIU Xiao-zhong  HOU Jian-quan  WEI Xue-dong
Institution:.Department of Urology,the First Affiliated Hospital to Suzhou University,Suzhou 215006,Jiangsu,CHINA
Abstract:Objective To study the method and the results of the transobturator vaginal tape inside out(TVT-O)for the treatment of female stress incontinence (SUI).Methods 16 patients with SUI were undergone TVT-O procedure.Results The average operating duration was 30 min (from 25 min to 45 min) and average blood loss was 30 ml (from 10 ml to 50 m1).16 patients were cured after removal of catheters,and 2 patients felt pain on the thigh,and 1 case occurred overactive bladder.All patients were followed up from 1 to 12 months,and no incontinence recurred.Conclusion TVT-O was a reliable method for the treatment of SUI with less curable and preventable complications.
Keywords:Stress incontinence  TVT-O  Stress urinary incontinence  Indication  Complications and treatment
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