[1]关礼贤,胡明,徐勋,等.两种经闭孔无张力尿道悬吊术治疗女性压力性尿失禁的对比研究[J].中华腔镜泌尿外科杂志(电子版),2013,(04):292-295.
点击复制

两种经闭孔无张力尿道悬吊术治疗女性压力性尿失禁的对比研究()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2013年04期
页码:
292-295
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of the efficacy and safety of TOT and TVT-O on stress incontinence GUAN Li-xian,
作者:
关礼贤胡明徐勋张湛英冯权尧
南方医科大学附属南海医院泌尿外科,广东佛山,528200
关键词:
女性压力性尿失禁尿道悬吊术TOTTVT-O
摘要:
目的 比较由外向内经闭孔无张力尿道悬吊术(TOT)及由内向外经闭孔无张力尿道悬吊术(TVT-O)治疗女性压力性尿失禁(SUI)的安全性和有效性.方法 回顾性分析我院68 例女性SUI患者,30 例行TOT 术,38 例行TVT-O 术的临床资料.SUI 诊断主要根据患者症状、妇科检查、压力试验及尿动力学检查.术前及术后6 个月按照国际尿失禁问卷调查表进行评分,评价其主观治愈率.记录手术时间、术中及术后并发症、术中失血量、术后尿管留置时间、住院天数及术后6~24 个月随访结果.结果 TVT-O 组术后出现2 例大腿内侧疼痛(5.3%)和1 例急迫性尿失禁,TOT 组出现2 例短暂性尿潴留.两组手术时间、术中出血量及住院天数无明显差异(P>0.05).两组手术方式均无膀胱穿孔、排尿困难及阴道腐蚀现象.随访6~24 个月,TOT 组治愈率为97.2%,TVT-O 组治愈率为96.3%.两组术后尿失禁生活质量量表(I-QOL)评分明显高于术前,盆腔器官脱垂尿失禁患者性功能问卷(P-ISQ)性生活质量评分术前术后无明显改变.结论 TOT 与TVT-O 均可作为治疗女性SUI 的安全、有效的方法.

相似文献/References:

[1]张力,何建书,胡兴平,等.经尿道电切术治疗女性膀胱颈梗阻12例[J].中华腔镜泌尿外科杂志(电子版),2009,(06):519.
 ZHANG Li,HE Jian-Shu,HU Xing-ping,et al.The study of using transurethral resection of bladder neck to treat 12 female patients with bladder neck obstruction[J].,2009,(04):519.
[2]张宗亮,周荣祥,綦海燕,等.经尿道双极等离子电切术治疗女性膀胱颈梗阻的临床分析[J].中华腔镜泌尿外科杂志(电子版),2011,(01):55.
 ZHANG Zong-liang,ZHOU Rong-xiang,QI Hai-yan,et al.Transurethral plasma kinetic resection for female bladder neck obstruction[J].,2011,(04):55.
[3]贺飞,邬绍文,张晓忠,等.无张力尿道中段吊带术联合proliftTM网片治疗女性压力性尿失禁合并膀胱脱垂的早期经验[J].中华腔镜泌尿外科杂志(电子版),2012,(06):479.
 HE Fei,WU Shao-wen,ZHANG Xiao-zhong,et al.Initial experience with concomitant proliftTM system and tension-free vaginal tape procedures in patients with stress urinary incontinence associated with cystocele[J].,2012,(04):479.
[4]贺飞,邬绍文,张晓忠,等.经尿道电切联合不同灌注方法治疗女性腺性膀胱炎的比较[J].中华腔镜泌尿外科杂志(电子版),2013,(02):125.
 HE Fei,WU Shao-wen,ZHANG Xiao-zhong,et al.Transurethral electoresection combined with one time intravesical instillation of Pirarubicin versus postoperative repeatedly intravesical instillation for female patients with cystitis glandularis[J].,2013,(04):125.
[5]黄泽萍,王小立,张新玲,等.经会阴四维超声在女性压力性尿失禁诊断中的初步应用[J].中华腔镜泌尿外科杂志(电子版),2013,(05):45.
 Huang Ze-ping,Wang Xiao-li,Zhang Xin-ling,et al.Preliminary study of the diagnosis value in female stress urinary incontinence by transperineal four-dimensional ultrasound[J].,2013,(04):45.
[6]贺飞,邬绍文,陈宋林,等.腹腔镜下Mesh网片阴道骶骨前固定治疗膀胱脱垂疗效及安全性分析[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):13.[doi:10.3877/cma.j.issn.1674-3253.2016.01.004 ]
 He Fei,Wu Shaowen,Chen Songlin,et al.Efficacy and safety of laparoscopic sacrocolpopexy with Mesh in the treatment of female with low urinary tract symptoms induced by cystocele[J].,2016,10(04):13.[doi:10.3877/cma.j.issn.1674-3253.2016.01.004 ]
[7]肖远松,胡卫列,吕军,等.人工尿道括约肌植入术治疗骶髓损伤后压力性尿失禁[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):18.[doi:10.3877/cma.j.issn.1674-3253.2016.01.005 ]
 Xiao Yuansong,Hu Weilie,Lyu Jun,et al.Implantation of artificial urinary sphincter for treatment of stress urine incontinence due to sacral cordinjury[J].,2016,10(04):18.[doi:10.3877/cma.j.issn.1674-3253.2016.01.005 ]
[8]徐净,张奥华,毛永江,等.膀胱颈移动度对女性压力性尿失禁患者的诊断价值[J].中华腔镜泌尿外科杂志(电子版),2016,10(01):22.[doi:10.3877/cma.j.issn.1674-3253.2016.01.006 ]
 Xu Jing,Zhang Aohua,Mao Yongjiang,et al.The bladder neck descent in the diagnosis of female stress urinary incontinence[J].,2016,10(04):22.[doi:10.3877/cma.j.issn.1674-3253.2016.01.006 ]
[9]毛永江 张红君 张新玲 郑荣琴 黄冬梅.盆底超声在女性压力性尿失禁分级中的初步应用[J].中华腔镜泌尿外科杂志(电子版),2015,(06):403.[doi:10.3877/cma.j.issn.1674-3253.2015.06.004 ]
 Mao Yongjiang,Zhang Hongjun,Zhang Xinling,et al.Preliminary application of pelvic floor ultrasound in female with different classification of stress urinary incontinence[J].,2015,(04):403.[doi:10.3877/cma.j.issn.1674-3253.2015.06.004 ]
[10]林建群 张逸仲 许哲 王乐浩 王佳玲.三维彩超评估女性压力性尿失禁盆底病变的应用[J].中华腔镜泌尿外科杂志(电子版),2015,(04):291.[doi:10.3877/cma.j.issn.1674-3253.2015.04.014 ]
 Lin Jianqun,Zhang Yizhong,Xu Zhe Wang Lehao,et al.The clinical study of three-dimensional ultrasound imaging for the assessment of pelvic changes in female stress urinary incontinence[J].,2015,(04):291.[doi:10.3877/cma.j.issn.1674-3253.2015.04.014 ]

更新日期/Last Update: 1900-01-01