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学科主题: 临床医学
题名:
TVT-O治疗女性压力性尿失禁105例分析
其他题名: Tension-free Vaginal Tape-obturator Technique (TVT-O) for Female Stress Urinary Incontinence: Results of 105 Patients
作者: 陆叶1; 姚海蓉1; 杨欣1; 李小花1; 李红站1; 张郁蓉1; 于海洋1
关键词: 女性压力性尿失禁 ; 经闭孔尿道中段阴道无张力悬吊术 ; 女性性功能 ; 生活质量 ; Female stress urinary incontinence ; Tension-free vaginal tape-obturator technique (TVT-O) ; Female sexual function ; Quality of life
刊名: 实用妇产科杂志
发表日期: 2010
DOI: 10.3969/j.issn.1003-6946.2010.03.011
卷: 26, 期:3, 页:199-202
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:探讨经闭孔尿道中段阴道无张力悬吊术(TVT-O)治疗女性压力性尿失禁的疗效及安全性.方法:2006年1月至2008年11月在本院妇产科收治的行TVT-O手术的压力性尿失禁患者,共105例,术前、术后行1小时尿垫试验,填写尿失禁生活质量问卷和性生活质量问卷并总结.结果:①单纯行TVT-O手术用时30.4±10.2(15~60)分钟,术中平均出血33.8±13.8(10~50)ml.术后并发症很少.②1小时尿垫试验显示术后漏尿量与术前相比显著减少(P<0.01),手术客观治愈率术后6周、3个月、6个月和1年分别为85.1%,86.2%,86.5%和84.0%.③尿失禁生活质量问卷评分术后6个月和1年与术前相比差异有高度统计学意义,P<0.01.④性生活质量问卷评分显示术后6个月和1年与术前相比,性生活质量有改善趋势,但差异无统计学意义(P>0.05).结论:TVT-O手术操作简便,并发症少,短期疗效满意,对患者生活质量有很大改善,对性生活的影响及其长期疗效还有待进一步研究. Objective:The effectiveness and safety of tension-free vaginal tape-obturator technique(TVT-O) for femal stress urinary incontinence was assessed. Methods:105 patients in Peking University First Hospital from January,2006 to November,2008 who had TVT-O were recruited. The patients were followed up before and after operation by 1h pad test and incontinence quality of life questionnaire( I -QoL) and quali-ty of sexual life questionnaire (PISQ). Results:① The mean time of operation was 30.4 ± 10.2 minutes ( 15 ~ 60 min ), mean bleed loss was 33.8 ± 13.8 ml ( 10 ~ 50 ml). There were very few complications of the operation. ② The 1h pad test of 6 weeks,3 months,6 months and 1year after operation showed the leakage significantly decreased than those preoperatively( P < 0.01 ). The objective cure rates were 85.1% ,86.2%, 86.5% and 84% respectively. ③ The score of I -QoL was better postoperatively than preopratively( P < 0.01 ). ④The score of PISQ was no difference postoperatively (6 months and 1year) compared with preop-eratively(P>0.05). Concluslons:TVT-O is a surgery that is easy to operate. It has few complications, satis-fied short-term cure rate and quality of life. The impact on sexual life and long-term results still need further e-valuation.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/48703
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.北京大学第一医院,北京,100034
2.银川市妇幼保健院,宁夏,银川,750001
3.山西省武乡县人民医院,山西武乡,046300

Recommended Citation:
陆叶,姚海蓉,杨欣,等. TVT-O治疗女性压力性尿失禁105例分析[J]. 实用妇产科杂志,2010,26(3):199-202.
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