TOT治疗女性压力性尿失禁32例疗效分析 |
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引用本文: | 石永云,许传奎. TOT治疗女性压力性尿失禁32例疗效分析[J]. 蚌埠医学院学报, 2015, 40(8): 1044-1046. DOI: 10.13898/j.cnki.issn.1000-2200.2015.08.019 |
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作者姓名: | 石永云 许传奎 |
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作者单位: | 安徽省合肥市第二人民医院 妇产科, 230001 |
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摘 要: | 目的:探讨由外向内经闭孔无张力性尿道中段悬吊术(TOT)治疗女性压力性尿失禁(SUI)的安全性和有效性。方法:对32例SUI患者行TOT治疗,并于术后6个月和24个月随访,分析手术效果和术后随访情况。结果:32例患者手术时间28~46 min,术中出血量22~56 ml,术后住院时间4~7 d,手术成功率96.9%,无严重并发症发生,术后随访6个月及24个月时的治疗效果、生活质量调查评分、残余尿及最大尿流率差异均无统计学意义(P>0.05)。结论:TOT治疗女性SUI安全、有效,长期疗效可靠。
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关 键 词: | 尿失禁 尿道悬吊术 |
收稿时间: | 2015-04-16 |
Effect of TOT in the treatment of female stress urinary incontinence in 32 cases |
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Affiliation: | Department of Obstetrics and Gynecology, The Second People's Hospital of Hefei, Hefei Anhui 230001, China |
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Abstract: | Objective:To evaluate the efficacy and safety of tension free obturator tape technique( TOT) in the treatment female stress urinary incontinence(SUI). Methods:Thirty-two patients with SUI were treated with TOT. The effect of surgery were follow-up at postoperative 6 and 24 months. Results:The operative time,blood loss,postoperative hospital stay and surgical success rate in 32 cases were 28-46 min,22-56 ml,was 4-7 d and 96. 9%,respectively. No serious complication was found. The differences of the surgery efficacy,score of quality of life, residual urine and maximum urinary flow rate between all cases were not statistically different at postoperative 6 and 24 months(P>0. 05). Conclusions:The treatment of female SUI with TOT is safe,effective,and good long term effect. |
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Keywords: | urinary incontinence urethral sling surgery |
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