无张力阴道吊带术治疗压力性尿失禁(附10例报告)

目的探讨无张力阴道吊带术(TVT)的手术方法、适应证及并发症的预防. 方法女性压力性尿失禁(SUI)患者10例,平均年龄52岁.漏尿病史平均7年,其中8例为轻中度SUI,加压期尿道压力>10 cmH2O,2例为重度SUI,加压期尿道压力<10 cmH2O.经阴道前壁行无张力阴道吊带术. 结果 10例SUI均得到满意的控尿效果.1例患者术后剩余尿100 ml,但主观评价明显改善.随访13～21个月,无SUI症状复发,无排尿困难及尿路感染. 结论 TVT是一种简便、快捷的SUI治疗方法,疗效满意,可以减少患者的痛苦和缩短住院时间.

Correcting stress urinary incontinence by tension-free vaginal tape (report of 10 cases)

Objective To investigate the surgical approaches,indications and prevention of complications of tension free vaginal tape (TVT). Methods Ten female cases (mean age of 52 years) of stress urinary incontinence (SUI) were included,with 7-year-leakage history on average.Among them,8 cases were of mild or moderate grade with stress urethral pressure >10 cmH 2O,and 2 cases were of severe grade with stress urethral pressure<10 cmH 2O.The anti-incontinence procedure was TVT through the anterior vaginal wall. Results All the cases clinically improved,and only one case 100 ml of residual urine,but her subjective perception significantly improved.All of the cases were followed up for 13 to 21 monthes with good results.No leakage,no dysuria,and no urinary tract infection occurred. Conclusions TVT is a simple,reliable procedure for anti-incontinence with good result,and it can reduce patients' discomfort and hospital stay.