【摘要】 目的对比经闭孔尿道中段无张力悬吊术(由内到外)(TVT-O)、经耻骨后尿道中段无张力悬吊术(TVT-E)治疗女性压力性尿失禁(SUI)的疗效、对患者及其配偶性生活质量的影响。方法选取2018年1月至2020年6月河南省人民医院诊治的138例女性单纯性SUI患者作为研究对象。根据术式不同将77例行TVT-O患者纳入TVT-O组,61例行TVT-E患者纳入TVT-E组。采用国际尿失禁问卷表简表(ICI-Q-SF)、1h尿垫试验评估漏尿情况,采用女性性功能指数(FSFI)量表、国际勃起功能指数5(IIEF-5)量表评估患者及配偶性生活情况,对比两组疗效、手术前后FSFI评分、IIEF-5评分。结果术后两组手术效果等级分布、治愈率比较,差异均无统计学意义(P>0.05)。术后6个月两组ICI-Q-SF评分均较术前有所改善,差异具有统计学意义(P<0.05);两组手术前后ICI-Q-SF评分组间比较,差异无统计学意义(P>0.05)。术后6个月,TVT-O组(68例)、TVT-E组(54例)FSFI评分、IIEF-5评分均较术前提高,差异具有统计学意义(P<0.05);两组间比较,差异均无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论 TVT-O、TVT-E两种术式对于女性SUI均具有良好的治疗效果,均可改善患者及其配偶的性生活质量,且两种术式效果差异无统计学意义。更多还原

【Abstract】 Objective To compare the efficacy of transobturator urethral tension-free sling(inside to outside)(TVT-O) and transpubic urethral tension-free sling(TVT-E) in the treatment of female stress urinary incontinence(SUI), and impact on the quality of sexual life of patients and their spouses. Methods 138 cases of female patients with simple SUI diagnosed and treated in Henan Provincial People′s Hospital from January 2018 to June 2020 were selected and divided into TVT-O group(77 cases) and TVT-E group(61 cases) according to different surgical methods. ICI-Q-SF and 1 h pad test were used to evaluate the urine leakage. Female sexual function index(FSFI) and international erectile function index 5(IIEF-5) were used to evaluate the sexual life of the patients and their spouses. The efficacy, FSFI score and IIEF-5 score changes before and after surgery were compared between the two groups. Results There was no statistical significance in the distribution of postoperative effect grade and cure rate between the two groups(P>0.05). At 6 months after surgery, ICI-Q-SF scores in both groups were improved compared with those before surgery, with statistical significance(P<0.05). There was no significant difference in ICI-Q-SF scores between the two groups before and after operation(P>0.05). Six months after surgery, FSFI score and IIEF-5 score in the TVT-O group(68 cases) and the TVT-E group(54 cases) were increased compared with those before surgery, and the difference was statistically significant(P<0.05). There was no significant difference between the two groups(P>0.05). There was no significant difference in the total incidence of complications between the two groups(P>0.05). Conclusions TVT-O and TVT-E both have good therapeutic effects for female SUI, and can improve the quality of sexual life of patients and their spouses, and there is no statistically significant difference in the effects of the two surgical methods.更多还原