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目的:探讨TVT-AbbrevoTM吊带手术治疗女性压力性尿失禁(SUI)的疗效及安全性。方法:2013年5~8月共收集SUI患者16例,应用TVT-AbbrevoTM吊带系统进行治疗,记录并分析所有患者的临床资料,包括治愈率、满意度和手术并发症等。结果:16例手术均获得成功,手术时间19~45min,失血量15~30ml。术中无膀胱、尿道、肠管、阴道等损伤,无会阴血肿和切口感染,无排尿困难、新发尿急。2例大腿根部酸痛,未予特殊治疗自然消失;1例术后排尿困难,经留置尿管48小时后,症状消失;1例术后尿频,口服舍尼亭4mg,每日2次,2周后尿频消失。16例尿失禁均消失,咳嗽试验阴性,随访1~12周无复发。结论:TVT-AbbrevoTM吊带手术治疗女性压力性尿失禁,并发症少,近期疗效良好。
Objective: To investigate the efficacy and safety of TVT-AbbrevoTM sling surgery for female stress urinary incontinence (SUI). Methods: From May to August 2013, 16 patients with SUI were collected and treated with TVT-AbbrevoTM sling system. The clinical data of all patients were recorded and analyzed, including cure rate, satisfaction and surgical complications. Results: All the 16 surgeries were successful. The operative time was 19 ~ 45min and the blood loss was 15 ~ 30ml. Intraoperative bladder, urethra, intestine, vagina and other injuries, no perineal hematoma and incision infection, no dysuria, new urinary urgency. 2 cases of thigh root pain, without special treatment of natural disappearance; 1 case of dysuria after 48 hours of catheter indwelling, the symptoms disappear; 1 case of postoperative urinary frequency, oral corticosteroids 4mg, 2 times a day, 2 weeks After frequent urination disappeared. 16 cases of urinary incontinence disappeared, cough test negative, followed up for 1 to 12 weeks without recurrence. Conclusion: TVT-AbbrevoTM surgical treatment of female stress urinary incontinence, less complications, the recent good effect.