经闭孔无张力尿道中段悬吊术治疗女性压力性尿失禁22例临床分析

目的 评价经闲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。方法 回顾性总结2004-07—2005-12采用TVT-O术式治疗女性SUl的临床资料22例。结果 22例病人均治愈，平均手术时间14min，术中无并发症，无膀胱损伤。术后短期尿潴留3例（13．6％）。术后平均随访9个月（1～15个月），至今无并发症发生。结论 TVT-O术式操作简便快捷、创伤小、并发症少、不易损伤膀胱，是治疗女性SUI的安全有效方法。

Treatment of female SUI with TVT - O: clinical analysis of 20 cases

Objective To evaluate the effectiveness of the Tension Free Vaginal Tape Obturator Technique (TVT-O) procedure in the treatment of female stress urinary incontinence. Methods Twenty-two cases of female stress urinary incontinence treated by TVT-O procedure from July 2004 to December 2005 were analyzed retrospectively. Results The mean operation time was 14 minutes. All 22 cases were successfully cured by the TVT-O procedure. No complications and no bladder injury were recorded among all of the operations. The rate of postoperative urinary retention was 13.6%(n=3).All cases were followed up form 1 to 15 months(mean 9 months),which showed no complications. Conclusion TVT-O procedure is simple and minimally invasive with lower complication rate and less risk of injury to the bladder .It is a satisfactory technique for the surgical treatment of the female urinary stress incontinence.