经阴道无张力性尿道中段悬吊术治疗女性压力性尿失禁10例分析

目的：探讨经阴道无张力性尿道中段悬吊术(TVT)在治疗女性压力性尿失禁中的意义。方法：10例患者，年龄45—58岁，平均48．4岁。临床表现为用力、咳嗽等时尿液不自主流出。病史4个月-15年。经详细地尿动力学检查证实为压力性尿失禁。行腹压漏尿点压(abdominal leak-point pressure，ALPP)测定，按照McGuire的方法分型，ALPP＞9．81kPa(I型)2例，ALPP6．38—9．81kPa(Ⅱ型)3例，ALPP＜6．38kPa(Ⅲ型)5例。结果：术后10例均无尿失禁，8例患者拔除导尿管当日即可顺利排尿，1例出现尿潴留，1例膀胱穿孔。结论：TVT手术安全易行，手术时间短，创伤小，患者康复快，治疗压力性尿失禁近期效果确切，远期疗效有待进一步研究。

Tension free vaginal tape for surgical treatment of female stress urinary incontinence

Purpose:To investigate the significance of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Methods; 10 cases of stress incontinence aged 45 to 58 years (averaged 48.4 years). Urodynamics include abdominal leak-point pressure (ALPP) were measured in routine ways. Results; In 10 cases stress incontinence , ALPP>9. 81 kPa(Type I )2 cases, ALPP 6.38 - 9.81 kPa(TypeII)3 cases, ALPP<6. 38 kPa(Type III)5 cases. Ten cases were successfully cured. Urinary retention 1 cases, bladder injury 1 cases. Con-clusionS;Our results demonstrate that the TVT procedure is a safe and effective surgical method for treatment of female stress urinary incontinence.