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。     

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尿失禁11例分析

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。     

经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁的手术配合及护理

尿失禁对妇女精神心理造成很大伤害.我国成年女性尿失禁的患病率为18.19%～50.19%[1,2]手术是其主要的治疗方法.经闭孔无张力尿道中段悬吊术(TVT-O),是国内外开展较新的一种手术方式,效果良好.本文对20例尿失禁患者行TVT-O治疗的护理体会总结如下.     

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。     

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。     

改良式经闭孔无张力阴道悬吊手术治疗女性压力性尿失禁

目的探讨改良式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)的临床效果及安全性。方法回顾性分析22例应用改良式TVT-O治疗女性压力性尿失禁患者的临床资料。结果全部患者经手术治疗后,均治愈。两组手术时间、术中出血量、并发症及住院时间均无明显差异(均P>0.05)。全部患者术后无血肿、感染及排异反应,出院后门诊随访无尿失禁、尿潴留等。结论改良式经闭孔无张力尿道中段吊带悬吊术治疗女性压力性尿失禁,操作简单,可靠方法,疗效确切。     

经闭孔无张力阴道吊带术治疗女性压力性尿失禁

目的探讨女性压力性尿失禁的发病机制和微创治疗方法。方法女性压力性尿失禁患者6例。经临床、尿动力学检查和膀胱镜确诊．均为稳定性膀胱．无膀胱出口梗阻。采用经闭孔无张力阴道吊带（TVT-O）技术治疗。结果手术时间平均32min;术中出血量平均40ml;术后平均留置导尿管2d;术后平均住院3d。其中1例患者术后出现轻微排尿费力,行尿道扩张后重新留置尿管。5d后拔尿管,排尿通畅。结论TVT-O具有手术操作简单、安全,无需膀胱镜检查,并发症少等优点,可作为女性压力性尿失禁的首选手术方式。     

尿道折叠术和经闭孔无张力尿道中段悬吊带术治疗女性压力性尿失禁的临床分析

<正>压力性尿失禁(SUI)是盆底功能障碍性疾病的一种,常与盆腔器官脱垂(POP)伴发。目前治疗轻度SUI以生物反馈训练为主,中、重度SUI以手术治疗为主,现将近年来手术治疗病例分析如下。1资料与方法1.1研究对象:选取山西省妇幼保健院妇科2007年6月至2010年6月,采用经闭孔无张力尿道中段悬吊带术(TVT-O)治疗压力性尿失     

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。     

阴道无张力尿道悬吊带术治疗女性压力性尿失禁的护理

目的:探讨采用经阴道无张力尿道悬吊术(TVT)治疗女性压力性尿失禁的护理。方法:我院对13例压力性尿失禁的女性患者行TVT术。术前充分准备,避免一切可能引起腹内压升高的诱因;术后密切观察,预防出血和感染。结果:所有患者术后临床症状明显好转或痊愈,未发生并发症。结论:术前准确避免引起术后腹内压升高以及术后密切观察预防出血和感染在TVT术的护理中至关重要。     

经闭孔无张力阴道吊带术治疗女性压力性尿失禁

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.