TVT及TVT-O治疗女性压力性尿失禁的临床观察

目的:通过对TVT及TVT-O治疗压力性尿失禁36例分析,探讨压力性尿失禁的治疗效果、并发症及预防。方法:统计我院2008年8月～2011年8月收治的36例压力性尿失禁患者,进行分组及回顾性分析总结。结果:TVT-O组的手术时间较TVT组明显缩短,两组比较有统计学意义(P>0.05)。TVT-O组术中出血量少于TVT组,但无统计学差异。TVT-O组并发症较TVT组明显减少。结论:TVT和TVT-O是治疗女性压力性尿失禁的有效术式。临床医师可根据自己的经验选择适合的治疗方法。但TVT更简便、安全,适应证更宽。

Clinical observation on outcomes of female stress urinary incontinence treated with TVT-O and TVT

Objective:To observe the efficacies and complications of treating stress urinary incontinence in female patients by retropubic tension-free vaginal tape(TVT) procedure and transobturator tension-free vaginal tape(TVT-O)procedure.Methods:By retrospective study,36 female patients undergone treatment of stress urinary incontinence in our hospital between Aug.2008 and Aug 2011 were grouped into either TVT procedure or TVT-O procedure.Results:The procedure duration by TVT-O was significantly shorter than that by TVT.The two groups were statistically different(P<0.05).Although intraoperative bleeding was less in TVT-O group than TVT,yet,it had no statistical difference.The complications by TVT-O were not as high as TVT procedure.Conclusion:Both TVT-O and TVT are effective procedures for treatment of female stress urinary incontinence,and clinicians can be at their free option of the procedure.Yet,TVT looks simpler,safer and wider in clinical indications.