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目的 探讨经闭孔无张力阴道吊带术(TVT-O)治疗女性压力性尿失禁(SUI)的临床疗效.方法 回顾性分析19例临床和尿动力学检查诊断为SUI的患者.年龄36~82(58.3±12.2)岁.病程2~30(8.6士5.5)年.结果 手术时间12~25(15±3)min,术中出血量均<30 ml.未出现膀胱穿孔、阴道穿孔、伤口感染和吊带排异等并发症.术后2 d拔除导尿管,16例即获得满意控尿;3例拔管后仍有轻微尿失禁,1周后症状自行缓解,2例出现大腿根部酸痛,3 d后症状均自行缓解,未做特殊处理.全组未出现排尿困难和尿潴留现象,术后平均住院时间2.5 d.所有病例均获随访3~19个月,无尿失禁复发.结论 TVT-O术简捷、微创,并发症少,疗效确切,是一种治疗女性SUI安全有效的方法. 相似文献
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经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁的临床观察 总被引:2,自引:2,他引:2
目的探讨经闭孔无张力尿道中段悬吊术TVT-O治疗女性压力性尿失禁SUI的疗效及安全性。方法回顾性分析2006年4月至2008年6月接受TVT-O的28例女性SUI患者的临床资料,随访时间4—24个月。结果手术时间平均23min(10~30min),术中出血量平均24ml(15—40ml)。3例术后排尿困难,保留尿管3d后自行排尿。术后能达到完全控尿24例(85.7%),有效控尿4例(14.3%)。结论TVT-O是目前治疗女性SUI的一种有效、安全的微创手术。 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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Objective To evaluate the efficacy and safety of the transobturator tension-free vaginal tape (TVT-O) surgery, a minimally invasive surgery for treating patients with the stress urinary incontinence (SUI). Methods 28 cases with female stress uri-nary incontinence treated by TVT-O procedure from April 2006 to June 2008 were retrospectively analyzed. The follow-up time is from 4 to 24 months. Results The mean operation time was 23 min (rang 10~30 min) and the mean intraoperative bleeding was 24 ml (range 15~40 ml). An indwelling catheter had been used for 3 d because of urinary retention in 3 cases. 24 patients(85.7%)reached complete control after the surgery,effective control in 4 patients(14.35%). Conclusions TVT-O surgery is an effective, safe, minimally invasive management to treat the stress urinary incontinence. 相似文献
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目的探讨微创技术治疗女性压力性尿失禁的可行性和临床疗效。方法女性压力性尿失禁患者20例,经临床、尿动力学检查或膀胱尿道造影确诊,均为稳定性膀胱,无膀胱出口梗阻。采用无张力阴道吊带术(TVT),将吊带无张力置于尿道中段。结果手术时间平均(50±5)min;术中出血量平均(47±10)ml;术后平均留置导尿2d;术后平均住院4d。18例患者术后尿失禁症状均消失,其中1例患者术后出现尿潴留,留置导尿1周后好转,尿潴留症状消失,尿失禁未复发;1例尿失禁症状显著改善。结论应用TVT治疗女性压力性尿失禁具有简单、微创、疗效好、并发症少等优点,值得临床推广。 相似文献
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目的应用聚四氟乙烯(Teflon)补片代替聚丙烯网带进行无张力阴道吊带术(TVT)治疗女性压力性尿失禁(SUI),以寻求一种性能稳定、组织容性良好、经济实用的吊带材料。方法选择女性SUI患者30例,将Teflon补片裁剪成1.45 cm带状并植入尿道的中段或远段的下方,两端分别从耻骨上缘正中线两旁引出,观察术后疗效及并发症。结果术后患者均无伤口感染,无吊带排斥,无尿失禁复发,无尿瘘及尿路感染等并发症。结论 Teflon补片具有组织相容性好,用它替代聚丙烯网带进行TVT治疗女性SUI疗效明显,且价格相对低廉,值得临床推广应用。 相似文献
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随着人类寿命的延长和对生活质量要求的提高,压力性尿失禁(stress urinary incontinence,SUI)日益受到妇产科医生的重视。现将我院妇产科在2008年3月到2009年8月应用经闭孔无张力尿道中段悬吊术(TVT-O)治疗SUI42例临床资料加以分析,报告如下。 相似文献
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目的:评价改良Kelly术式、无张力阴道吊带术(TVT)和经闭孔无张力阴道吊带术(TVT-O)3种手术方式治疗女性压力性尿失禁的疗效。方法选取2001年2月~2012年2月收治的女性压力性尿失禁患者102例,分别采用改良Kelly术式、TVT和TVT-O 3种术式,分三个时段由同一组医生完成手术,观察3种术式的手术成功率。结果改良Kelly术式手术时间42~62 min,手术成功率:1年95%,4年65%;TVT术式手术时间48~70 min,手术成功率:1年93%,4年83%;TVT-O术式手术时间25~42 min,手术成功率:1年94%,4年92%。结论TVT-O术式方法更为简单,操作安全,并发症少,近、远期疗效稳定,能有效治疗女性压力性尿失禁。 相似文献
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朱圣红 《实用医药杂志(山东)》2011,28(12)
<正>女性压力性尿失禁(stress urinary incontinence,SUI)是中老年女性的一种常见病症,当咳嗽、喷嚏、大笑、起立等腹压突然提高时,尿液失去控制不由自主地流出,给患者带来一系列生理、精神、生活方面的困扰,严重影响妇女的生活质量和身心健康。笔者所在科对SUI患者行经闭孔肌无张力吊带术(TOS)。现将护理体会报告如下。 相似文献
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经闭孔无张力尿道中段悬吊术治疗女性尿失禁11例分析 总被引:1,自引:0,他引:1
压力性尿失禁(SUI)是严重影响中老年女性生活质量的一种疾病。随着全球的老年化,SUI的发病率日益增高。经闭孔无张力尿道中段悬吊术(TVT-O)是治疗压力性尿失禁的一种外科方式。2006年8月至2010年3月,我院采用TVT-O治疗SUI患者11例。现报告如下。 相似文献