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。
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.
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