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。     

女性压力性尿失禁行经闭孔尿道中段悬吊术的护理

女性压力性尿失禁（SUI）是指腹内压的突然增加导致尿液不自主地从完整的膀胱尿道外溢^[1],是女性的多发病。随着人口老龄化,尿失禁的患病率呈上升趋势,带来的社会和卫生问题日益突出,患者常因长期尿液外渗和内裤潮湿而生活不便,不敢参加社交活动,生活质量大大下降。我院对SUI患者采用经闭孔尿道中段悬吊术（TVT-O）18例,临床效果满意,报告如下。     

阴道盆底重建术联合聚丙烯网带尿道中段悬吊术对子宫脱垂合并压力性尿失禁患者的疗效影响

目的研究阴道盆地重建术联合聚丙烯网带尿道中段悬吊术(TVT-O)对子宫脱垂(POP)合并压力性尿失禁患者的疗效影响。方法选取我院2014年1月至2015年3月收治的132例子宫脱垂合并压力性尿失禁患者,随机分为观察组和对照组,各66例患者。对照组进行阴道盆底重建术联合无张力尿道中段悬吊术的治疗,观察组联合聚丙烯网带尿道中段悬吊术进行治疗,观察并对比两组患者治疗效果。结果观察组患者各项临床指标显著低于对照组,治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论阴道盆底重建术联合聚丙烯网带尿道中段悬吊术对子宫脱垂合并压力性尿失禁患者临床疗效显著,有利于提高患者术后生存质量。     

经闭孔阴道前壁无张力尿道中段悬吊术治疗女性压力性尿失禁的疗效

目的:探究经闭孔阴道前壁无张力尿道中段悬吊术治疗女性压力性尿失禁的疗效.方法:本次研究对象从2018年5月至2020年6月间来我院就诊的女性压力性尿失禁患者中选取80例,按照随机数表法,将这些患者分成观察组和对照组,每组40例.分别采用常规手术治疗和经闭孔阴道前壁无张力尿道中段悬吊术治疗,探究两组患者的治疗效果和术中相...     

盆底重建联合网带尿道中段悬吊术对子宫脱垂并压力性尿失禁患者的疗效

目的 观察阴道盆底重建术联合聚丙烯网带尿道中段悬吊术对子宫脱垂(UP)合并压力性尿失禁(SUI)患者的临床疗效.方法 选取新郑市公立人民医院2018年11月至2020年6月子宫脱垂(UP)合并压力性尿失禁(SUI)患者103例,以随机数字表法分为两组,均行阴道盆底重建术,其中51例应用无张力尿道中段悬吊术为对照组,另5...     

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.     

自制器械行无张力尿道中段悬吊术治疗女性压力性尿失禁

目的探讨自制器械行无张力尿道中段悬吊术治疗女性压力性尿失禁。方法穿刺系统采用骨科克氏针弯成弧形,末端钻孔,以备引出牵引线。吊带采用美国强生公司生产的Prolene材料的网状补片,裁剪成尿道中段垫片。4根10号线补片四角固定,并每隔1.5 cm打结,制作成可调式吊带。结果 5例患者均用自制器械行无张力尿道中段悬吊术,术后随访2年,1 h尿垫试验1 g.h-1,1例穿透膀胱颈,2次手术治愈。结论自制器械行尿道中段悬吊术治疗女性压力性尿失禁价格便宜,疗效确切,病人恢复快,适合基层应用。     

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.     

无张力尿道中段悬吊术治疗压力性尿失禁26例

压力性尿失禁（stress urinary incontinence,SUI）是成年女性的常见病多发病,我们于2007年3月至2008年9月采用经阴道无张力尿道中段悬吊术（tension-free vaginaltape,TVT）治疗女性SUI患者26例,效果满意,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。