改良的经闭孔尿道中段悬吊术治疗女性压力性尿失禁的临床研究

外科研究与新技术 ›› 2015, Vol. 4 ›› Issue (2): 107-110.

改良的经闭孔尿道中段悬吊术治疗女性压力性尿失禁的临床研究

李莉,沈爱群,欧阳一芹,李怀芳

同济大学附属同济医院

收稿日期:2015-05-29 修回日期:2015-06-30 出版日期:2015-06-28 发布日期:2015-07-06
通讯作者: 李怀芳 E-mail:huaifangli@126.com

Clinical study of a Tong’s modified TVT-O treatment of female stress urinary incontinence

Received:2015-05-29 Revised:2015-06-30 Online:2015-06-28 Published:2015-07-06

摘要/Abstract

摘要： 目的评价自制聚丙烯网片及穿刺锥经闭孔尿道中段悬吊术治疗女性压力性尿失禁的安全性和治疗效果。方法从2005年3月－2013年12 月采用自制聚丙烯网片及穿刺锥对在我院尿失禁门诊检查确诊为压力性尿失禁的230例，行经闭孔尿道中段悬吊术。对术中的情况及治疗后的效果进行分析定期随访。结果全部病人在静脉麻醉或骶麻下完成手术，平均手术时间20分钟，术中出血30ml，200例病人术后24小时去除导尿管后能自行排尿，30例出现残余尿＞100ml，经留置导尿48小时后好转。术后随访6-12月未见复发。结论自制聚丙烯网片及穿刺锥经闭孔尿道中段悬吊术除方法简单易学、操作安全、调节悬带松紧方便、术后恢复时间短效果确切外，且价格低廉易为更多的患者所接受。

关键词: 网片, 压力性尿失禁, 手术治疗

Abstract: Objective To evaluate the efficacy and safety of polypropylene suburetheal tape via obturator route to treat female stress urinary incontinence. Methods 230 women diagnosed of stress urinary incontinence (SUI) were treated with middle urethra sling via obturator route with self-made polypropylene tape, from March 2005 to December 2013. All patients’ surgical procedure and follow-up information were analyzed. Resuis All the operations were done in the status of intravenous anethesia or caudal block. The mean operating time was 20 minutes ,the mean blood loose were 30 ml. 230 patients can urinate automatically after pulling out urine duct at 24 hours post-operation, 30 patients complicated with residual urine more than 100ml, and no urinary incontinence symptoms were recurred in 6-12 months of following up. These 30 patients were asked to keep catheterization for another 48hours, and found out recovered themselves. Conclusionsd ue to easy sling adjusting, short recover duration, self-made polypropylene tape middle-urethra slingplasty via obturator route is a safe and high efficiency procedure for treating female stress urinary incontinence.

Key words: mesh, stress urinary incontinence, surgery

李莉沈爱群欧阳一芹李怀芳. 改良的经闭孔尿道中段悬吊术治疗女性压力性尿失禁的临床研究[J]. 外科研究与新技术, 2015, 4(2): 107-110.

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