【摘要】 目的:探讨经闭孔无张力阴道吊带术(TVT-O)后并发吊带侵蚀尿道的发生原因、诊断、治疗及预防。方法:介绍1例TVT-O术后并发吊带侵蚀尿道的诊治情况,并复习相关文献,结合该病例综合分析尿道侵蚀的原因、诊断、治疗及预防。结果:对该病例患者施行膀胱镜探查,并在膀胱镜辅助下行尿道侵蚀吊带切除术,手术顺利完成,术后恢复良好,会阴部异物感及尿痛症状消失,但术后1周再次出现压力性尿失禁症状。结论:TVT-O术后吊带侵蚀尿道发生的可能原因较多,症状差异性较大,膀胱镜检查可以明确诊断,膀胱镜下切除或辅助下切除吊带是首选治疗方法。研发及改进吊带系统,注意术中操作规范等可以预防该并发症的发生。更多还原

【Abstract】 Objective:To investigate the cause,diagnosis,treatment and prevention of the urethral mesh erosion after tension-free vaginal tape obturator(TVT-O).Methods:One case of the urethral mesh erosion after TVT-O was introduced,and relevant literatures were reviewed.The cause,diagnosis,treatment and prevention of urethral erosion were comprehensively analyzed combined with this case.Results:Exploration and excision of mesh eroded in urethra assisted by cystoscope was applied for this patient.The operation was successfully performed and postoperative recovery was good.Her symptoms including foreign body sensation in perineum and odynuria disappeared,but the stress urinary incontinence relapsed 1 week after operation.Conclusions:The urethral mesh erosion after TVT-O has some possible causes and the symptoms of performance have great difference.The diagnosis is made by cystoscopy.Excision of mesh by cystoscope or assisted by cystoscope is the first choice.Research and development of the TVT-O system and attention to intraoperative standardized operation are the keys of preventing this complication.更多还原