12例TVT‐O术后并发吊带侵袭膀胱的诊疗分析

doi:10.3969/j.issn.2095-378X.2020.03.002

外科研究与新技术 ›› 2020, Vol. 9 ›› Issue (3): 154-157.doi: 10.3969/j.issn.2095-378X.2020.03.002

12例TVT‐O术后并发吊带侵袭膀胱的诊疗分析

刘南斌¹, 吴刚², 卞崔冬²

1.同济大学附属同济医院普外科,上海 200065;
2.同济大学附属同济医院泌尿外科,上海 200065

收稿日期:2020-05-06 出版日期:2020-09-28 发布日期:2021-05-13
通讯作者: 卞崔冬,电子信箱：biancuidong@163.com
作者简介:刘南斌(1995—）,男,硕士研究生在读,从事泌尿外科基础疾病研究
基金资助:
上海市卫健委临床研究专项计划（20184Y0263、20184Y0105）; 国家自然科学基金(81802560)

Diagnosis and treatment of 12 cases of tape bladder invasion after TVT-O operation

LIU Nanbin¹, WU Gang², BIAN Cuidong²

1. Department of General Surgery, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China;
2. Department of Urology Surgery, Tongji Hospital Affiliated to Tongji University, Shanghai 200065, China

Received:2020-05-06 Online:2020-09-28 Published:2021-05-13

摘要/Abstract

摘要： 目的探索膀胱镜下治疗经闭孔无张力阴道吊带（TVT‐O）术后并发吊带侵袭膀胱的疗效。方法回顾性分析2015年1月—2019年1月收治的12例TVT‐O术后并发吊带侵袭膀胱的临床资料。对其发生原因、诊疗方法、结果进行分析。结果 12例患者均在膀胱镜下顺利切除侵袭的吊带,术后恢复良好,术前症状消失。2个月后随访,除2例患者有尿失禁症状复发,其余患者均无不适。结论 TVT‐O术后发生吊带侵袭膀胱的原因多样,膀胱镜可明确诊断,在膀胱镜下切除侵入的吊带,具有微创、安全可行的优势,是治疗吊带侵袭的首选术式。

关键词: 经闭孔无张力阴道吊带术, 膀胱侵袭, 外科治疗

Abstract: Objective To explore the effect of cystoscopy on the invasion of tape material into the bladder after tension-free vaginal tape obturator （TVT-O） operation. Methods A retrospective analysis was conducted on the clinical data of 12 cases of invasion of tape material into the bladder after TVT‐O operation, including causes, diagnosis and treatment methods, and results. Results All the 12 patients underwent successful removal of the invading tape under cystoscope, and recovered well after the operation with preoperative symptoms disappearing. At the follow-up visits 2 months later, except for 2 patients with recurrence of urinary incontinence symptoms, the remaining patients did not report discomfort. Conclusion There are various reasons for the tape invading the bladder after TVT-O. Cystoscopy is the best choice for tape invasion as it can diagnose the disease clearly and remove the invading tape materials in a minimally invasive, safe, and feasible way.

Key words: Tension-free vaginal tape obturator, Bladder invasion, Surgery treatment

中图分类号:

R694+.7

刘南斌, 吴刚, 卞崔冬. 12例TVT‐O术后并发吊带侵袭膀胱的诊疗分析[J]. 外科研究与新技术, 2020, 9(3): 154-157.

LIU Nanbin, WU Gang, BIAN Cuidong. Diagnosis and treatment of 12 cases of tape bladder invasion after TVT-O operation[J]. Surgical Research and New Technique, 2020, 9(3): 154-157.

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12例TVT‐O术后并发吊带侵袭膀胱的诊疗分析

Diagnosis and treatment of 12 cases of tape bladder invasion after TVT-O operation

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