| 经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁 |
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| 引用本文： | 田晓军,黄毅,肖春雷,侯小飞,庄申榕,马潞林.经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁[J].中国微创外科杂志,2008,8(4):331-333. |
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| 作者姓名： | 田晓军 黄毅 肖春雷 侯小飞 庄申榕 马潞林 |
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| 作者单位： | 北京大学第三医院泌尿外科,北京,100083 |
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| 摘 要： | 目的探讨经闭孔无张力尿道中段悬吊术(trans-obturator tension free vaginal tape,TVT-O)治疗女性压力性尿失禁(stress urinary incontinence,SUI)的临床疗效。方法2006年1月~2007年9月,对15例SUI行TVT-O,取阴道前壁纵行切口1cm,组织剪分离尿道旁阴道黏膜下间隙至闭孔膜,放入蝶形导引杆,将螺旋形穿刺针沿导引杆紧贴耻骨下支穿过闭孔膜,从大腿根部皮肤穿出,将吊带无张力放置于尿道中段下方。结果手术时间15~40min,平均30min。术中出血量10~40ml,平均20ml。术中无并发症。1例术后尿潴留,留置尿管5d后缓解。10例术后大腿根部疼痛,术后3~10d消失。15例随访2~19个月,平均8个月,均治愈,无复发。结论TVT-O操作简单、安全有效。
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| 关 键 词： | 压力性尿失禁 尿道中段悬吊术 |
| 文章编号： | 1009-6604(2008)04-0331-03 |
| 修稿时间： | 2007年8月8日 |
Trans-obturator Tension Free Vaginal Tape for Stress Urinary Incontinence in Women |
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| Institution: | Tian Xiaojun; Huang Yi; Xiao Chunlei; et al.Department of Urology; Peking University Third Hospital; Beijing 100083; China; |
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| Abstract: | Objective To evaluate the efficacy of trans-obturator tension free vaginal tape(TVT-O)for the treatment of stress urinary incontinence(SUI)in women.Methods From January 2006 to September 2007,15 female patients with SUI received TVT-O in our hospital.A 1-cm longitudinal incision was made along the anterior wall of the vagina for the dissection of the urethra from the vaginal submucosal space to the obturator membrane.Then,a butteryfly-shape guide pole was inserted to guide the puncture of a spiral needle fr... |
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| Keywords: | Stress urinary incontinence Trans-obturator tension free vaginal tape |
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