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。

The clinical observation of the transobturator tension-free vaginal tape surgery to treat female stress urinary incontinence

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.