TVT和AjustTM治疗女性压力性尿失禁的远期并发症及性功能改善分析

目的 探讨经耻骨后无张力尿道中段吊带术(TVT)和单切口可调节吊带(AjustTM)治疗女性压力性尿失禁的远期并发症及对性功能的影响.方法 回顾性分析2013年1月至2015年12月在该院治疗的45例压力性尿失禁患者,其中TVT组27例,AjustTM组18例,随访时间0.5～2.5年.随访内容包括治疗效果以及性功能改善情况等.结果 TVT组27例患者中20例获得满意随访,AjustTM组18例均获得满意随访.其中TVT组4例患者出现远期并发症,发生率为20.0％;AjustTM组患者2例远期并发症,发生率为11.1％,组间比较差异有统计学意义(P＜0.05),在性功能改善方面均较术前有效提高(P＜0.05).结论 AjustTM组患者远期并发症发生率少于TVT组.

Analysis on long-term complications and sexual function improvement of TVT surgery and AjustTM sling for treatment of female stress urinary incontinence

Objective To investigate the long-term complications of TVT surgery and AjustTM sling for treating female stress urinary incontinence and its influence on sexual function.Methods Forty-five female cases of stress urinary incontinence treated in the hospital from January 2013 to December 2015 were retrospectively analyzed,including 27 cases in the TVT group and 18 cases in the AjustTM sling group.The follow-up time lasted for 0.5-2.5 years and the follow up contents included the treatment effects and sexual function improvement.Results Twenty cases among 27 cases in the TVT group and 18 cases in the AjustTM sling group obtained satisfactory followed up.Four cases in the TVT group appeared the long term complications with the occurrence rate of 20.0 ％;there were 2 cases of long term complications in the AjustTM sling group with the occurrence rate of 11.1 ％,the difference between the two groups was statistically significant(P＜0.05),the aspect of sexual function improvement was increased compared with before operation(P＜0.05).Conclusion The occurrence rate of long term complications in the AjustTM sling group is less than that in the TVT group.