【摘要】 目的:观察经闭孔经阴道尿道中段悬吊术(TVT-O)治疗女性压力性尿失禁的疗效,并进行评价。方法:对33例女性压力性尿失禁患者经临床、尿动力学检查或膀胱尿道造影确诊,均为稳定性膀胱,无膀胱出口梗阻。确诊后行TVT-O手术疗。结果:30例患者术后拔尿管后尿失禁症状消失,随访6～24个月无复发,2例出现排尿困难,行尿道扩张后症状消失,1例出现急迫性尿失禁口服舍尼亭后好转。结论:TVT-O术操作简便,手术创伤小,手术时间短,并发症少,治愈率高,是治疗女性压力性尿失禁的有效方法。更多还原

【Abstract】 Objective:To observe the operation effect of tension-free vaginal tape-obturator(TVT-O) for the female stress urinary in continence(FSUI).Methods:Thirty one patients with FSUI were treated with TVT-O operation,all the patients were confirmed to have stable bladder without outlet obstruction via clinical routine and urodynamic examination before operation.Results:All the patients were followed-up 6～24 months,30 cases were cured and the clinical symptoms disappeared after operation.Two patients with postoperative urine retention,after urethra dilated,the urine retention disappeared and no incontinence recurred.Urgent uracratia appeared on 1 cases,the symptom relieved after taking tolterodine L-tartrate. Conclusion:TVT-O is a simple,reliable,miniinvasive surgery to treat FSUI and with few complications.更多还原