经闭孔尿道中段阴道无张力悬吊术治疗女性压力性尿失禁

目的探讨经闭孔尿道中段阴道无张力悬吊术(TOT)治疗女性压力性尿失禁(SUI)的疗效及安全性。方法对10例临床及尿动力检查诊断为女性压力性尿失禁(SUI)的患者进行TOT治疗。结果手术时间为(25±5)min,术中出血量为(40±10)ml,术后3 d拔除导尿管,所有患者小便自控,无尿失禁,随访半年无复发。结论 TOT治疗SUI安全、微创、疗效满意。     

经闭孔尿道中段无张力悬吊术治疗女性压力性尿失禁远期疗效及安全性分析

目的:探讨经闭孔尿道中段无张力悬吊术(TVT-O)治疗女性压力性尿失禁的远期疗效和安全性。方法:回顾性分析2009年1月—2012年12月山西省妇幼保健院因压力性尿失禁实施TVT-0术的39例女性患者的临床资料并随访其远期疗效及安全性。结果:39例患者手术时间为(31.82±7.09)min,术中出血量为(29.15±16.93)m L。术中未发生膀胱、尿道、闭孔血管和神经等损伤。术后出现尿潴留8例,重新尿管留置时间为(3.64±4.50)d。39例患者平均随访时间为48~60个月,无失访。手术治愈率为97.4%(38/39),无效率为2.6%(1/39),复发率为0(0/39)。远期并发症无排尿不畅、无吊带侵蚀,有尿急2例(5.1%)。结论:TVT-O治愈率较高,不易复发,远、近期并发症发生率低,为治疗压力性尿失禁的最佳选择。     

经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁

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。     

经闭孔尿道中段无张力悬吊术治疗压力性尿失禁13例分析

压力性尿失禁是由于盆底组织损伤及先天性薄弱等原因造成的女性以不自主溢尿为主要表现的疾病。多见于年长妇女,国外报道65岁以上女性发病率高达50%～83%,实际发病率更高。近年来随着我国人民生活水平的提高．阴道分娩巨大儿及阴道助产数量增加，压力性尿失禁出现年轻化趋势，且伴有性生活中因不自主溢尿而影响满意程度，甚至影响婚姻家庭稳定。尿失禁有多种类型。     

无张力尿道中段悬吊术治疗女性压力性尿失禁

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)的方法及临床效果。方法回顾性分析2007年5月至2011年6月经TVT-O治疗的31例女性压力性尿失禁患者临床资料。结果 31例均治愈,手术时间14～32min,术中出血20～38ml,3例并发阴道前壁轻度膨出者术后改善,术后4例出现不稳定膀胱症状、1例拔管后出现尿潴留、2例出现大腿根部疼痛,对症治疗后均消失。随访4～16个月,患者无排尿困难及尿失禁复发,近期治愈率100%。结论 TVT-O治疗女性SUI操作简便,创伤小,并发症少,安全有效,值得临床推广应用。     

改良经闭孔尿道中段悬吊术治疗女性压力性尿失禁的疗效观察

目的观察改良的经闭孔尿道中段悬吊术（改良TVT-O术）在治疗女性压力性尿失禁中的疗效。方法对99例单纯压力性尿失禁患者进行改良TVT—O手术，术后随访2～32个月，观察症状改善情况。结果99例患者术后症状均得到改善，改良TVTT—O平均手术时间24min，平均出血量37ml，术后平均随访17个月症状未再复发。结论改良TVT—O治疗女性压力性尿失禁手术步骤简单易学、创伤小、术中术后并发症少、费用低、疗效可靠。     

经阴道无张力尿道中段悬吊术治疗女性压力性尿失禁临床分析

目的探讨女性压力性尿失禁的微创治疗及减少手术并发症的方法。方法采用经阴道无张力尿道中段悬吊术（Tension-free vaginal tape,TVT）治疗女性压力性尿失禁患者47例,对其中30例合并子宫脱垂和（或）阴道壁脱垂者同时行经阴道子宫切除术和（或）阴道壁修补术。结果 47例患者手术时间33～50min,平均39min;出血量10～50mL,平均20mL。术中无膀胱、尿道或神经损伤等并发症,术后无血肿形成。术后7例出现排尿困难,其中1例尿潴留。平均随访时间23个月,4例失随访。统计43例,治愈率为83.72%（36/43）,有效率为11.63%（5/43）,无效2例,占4.65%。单纯TVT手术与TVT同时行子宫切除术和（或）阴道壁修补术的患者,治愈率和并发症发生率相比较,差异无统计学意义（P〉0.05）。结论 TVT手术可安全有效地治疗女性压力性尿失禁;TVT手术同时行子宫切除术和（或）阴道壁修补术是可行的。     

经阴道无张力尿道中段悬吊术治疗女性压力性尿失禁70例疗效分析

目的 总结无张力尿道中段吊带术（TVT）治疗女性压力性尿失禁（SUI）的临床经验.方法 回顾总结70例行TVT手术治疗的女性压力性尿失禁（SUI）患者临床疗效.结果 随访3个月至8年,全部患者得到治愈.手术并发症：膀胱穿孔11例（15.71％）,尿道损伤1例（1.43％）,出血量＞ 100 mL者9例（12.86％）,术后尿潴留6例（8.57％）,膀胱过度活动症3例（4.29％）,闭孔神经损伤1例（1.43％）.结论 TVT具有手术简单、组织损伤小和患者痛苦少等优点,是治疗女性SUI安全、有效的方法.     

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

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.     

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

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.     

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

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.     

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

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.     

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

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.     

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

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.     

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

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.     

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

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.     

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

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。