TVT-O治疗女性压力性尿失禁21例报告

目的对经闭孔入路经阴道尿道中段无张力悬吊术（transobturator vaginal tape，TVT-O）治疗女性压力性尿失禁（stress urinary incontinence，SUI）的疗效进行评价。方法回顾性分析2007年3月-2009年2月采用TVT-O术式治疗女性SUI的临床资料21例。结果手术时间20-40min，平均30min，术中出血20-60mL，平均40mL。1例术后排尿困难，保留尿管5d后自行排尿。21例治愈，随访3-12个月，平均6个月，无1例复发。结论TVT-O治疗女性SUI操作简单，效果可靠，并发症少，是一种较为理想的方法。

TVT-O procedure for the treatment of 21 cases of stress urinary incontinence

Objective To evaluate the methods and results of the transobturator vaginal tape inside-out （TVT-O） for the treatment of female stress incontinence （SUI）. Methods The data of 21 cases of female stress urinary incontinence treated by TVT-O procedure from March 2007 to Feb. 2009 were analyzed retrospectively. Results The average operating time was 30 rain （20-40 minutes） and average blood loss was 40 mL （20-60 mL）. An indwelling catheter had been used for 5 d because of urinary retention in 1 case. All of the patients were successfully cured and normal voiding without complications was achieved postoperatively with average follow-up of 6 month （3-12 months）. Conclusion TVT-O for the treatment of female urinary stress incontinence was simple and effective with fewer complications.