经阴道尿道中段无张力悬吊术治疗女性压力性尿失禁(附21例报告)

目的探讨经阴道尿道中段无张力悬吊术(TVT)治疗女性压力性尿失禁的临床疗效和手术优点。方法回顾性分析2003年3月以来对21例经过临床和尿动力学检查诊断为压力性或混合性尿失禁的女性患者进行TVT手术治疗，并对手术效果和并发症进行初步的随访研究。结果平均手术45min(30～85)min，平均术后住院2．5d(1～9)d。21例尿失禁患者接受TVT手术，18例(85．71%）术后排尿功能恢复良好，2例(9．52％)发生排尿困难，均经持续导尿及药物治疗后恢复正常排尿功能。术后发生尿失禁1例(4．77％)，在局麻下给予收紧吊带后恢复正常排尿。结论TVT手术是一种治疗压力性尿失禁的安全有效的方法，具有手术简单、微创、并发症少、康复快等优点，是治疗女性压力性尿失禁的安全有效方法。

Clinic results of tension-free vaginal tape for surgical treatment of stress urinary incontinence in female

Objective] To evaluate the primary clinical results of tension-free vaginal tape (TVT) for surgical treatment of female stress urinary incontinence. Methods] The outcome of 21 TVT procedures for women with genuine stress urinary incontinence (n =18) and mixed urinary incontinence (n =3) were retrospectively amalyzeel since May 2003. Results] Mean operation time was 45 minutes (range 30~85) , mean postoperative stay duration was 2.5 days (range 1~9) . 85.71 % of the women with genuine stress incontinence were cured and another 14.29 % significantly improved. Conclusions] From the present study we can consider thetension 2 free vaginal tape operation to be a safe and effective surgical procedure for the treatment of female urinary stressincontinence.