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目的:探讨四种吊带手术经腹和闭孔途径治疗女性压力性尿失禁的效果。方法:采用人工合成材料的吊带经腹壁固定方式(TVT和IVS技术)治疗女性压力性尿失禁患者23例;用经闭孔固定方式(TOT和TVT-O技术)治疗女性真性压力性尿失禁患者16例。并进行疗效比较。结果:绝大多数患者均排尿通畅,无尿失禁复发。但TVT组中有1例排尿不畅,3个月后剪断吊带后变为轻度尿失禁;有1例术中膀胱穿孔,术后停留导尿管1周。结论:用四种吊带手术治疗女性真性压力性尿失禁安全、微创和有效。经闭孔固定技术和用经腹壁固定技术这两种方法各有自己的优缺点。
Objective: To investigate the effect of four kinds of surgical procedures on transvaginal and obturator approach for female stress urinary incontinence. Methods: Thirty-three cases of female stress urinary incontinence were treated with artificial sling through the abdominal wall (TVT and IVS techniques). Patients with true stress urinary incontinence were treated by closed-cell fixation (TOT and TVT-O) 16 cases. And compare the efficacy. Results: The vast majority of patients had voiding and no urinary incontinence recurrence. However, 1 patient in the TVT group had poor urination and became mild incontinence after cutting off the sling 3 months later. One patient had perforation of the bladder and left the catheter for 1 week after operation. CONCLUSIONS: Four types of sling surgery are safe, minimally invasive and effective in treating female true stress incontinence. Closed-cell fixation techniques and the use of the abdominal wall fixation techniques have their own advantages and disadvantages of the two methods.