经闭孔或耻骨后无张力阴道吊带术治疗女性压力性尿失禁的临床分析

回顾性分析254例女性压力性尿失禁（SUI）患者行经闭孔无张力阴道吊带术（TVT-O）或经耻骨后无张力阴道吊带术（TVT）的疗效。结果显示TVT-O组与TVT组相比，手术时间明显缩短[（19±4）min，（27±6）min；P〈0．01]、并发症明显减少（2．9％，8．8％；P〈0．01）；术中出血[（19±6）ml，（31±8）ml]、住院时间[（4．1±1．5）d，（4．5±1．8）d]、Grouts-Blaivas评分法评定的术后24h（93．6％，91．2％）和末次随访治愈率（94．5％，94．3％）差异无统计学意义（P〉0．05）。提示两种方法均为治疗女性SUI的有效方法，但TVT-O并发症明显减少。

Transobturator or retropublic passage tension-free vaginal tape for 254 female patients with stress urinary incontinence

This study was to retrospectively report the clinical effects of retropublic passage tension free vaginal tape(TVT)vs.transobturator tape(TVT-O)on 254 female patients with stress urinary incontinence(SUI).Our findings showed that mean operative time was significantly lower in TVT-O group than that in TVT group[(19±4)min vs.(27±6)min;P＜0.05].Perioperative complications were more commonly seen in the retropubic procedure(2.9% vs.8.8%;P＜0.01).There was no significant difference in intraoperative blood loss[(19±6)ml vs.(31±8)ml in TVT-O or TVT groups;P＞0.05]and in-hospital stay[(4.1±1.5)d vs.(4.5±1.8)d in TVT-O or TvT groups;P＞0.05]between the two groups.Grouts-Blaivas Score demonstrated that those two treatment groups did not differ significantly in 24-hour(93.6% vs.91.2%;P＞0.05)or long-term postoperative cure rate(94.5% vs.94.3%;P＞0.05).We suggested that TVT or TVT-O seemed to be equally effective in surgical treatment of SUI.However,TVT-O had advantage of relatively lower overall perioperative complication rate.