【摘要】 目的探讨经阴道无张力尿道中段悬吊术(TVT)治疗女性压力性尿失禁(SUI)的临床疗效。方法对平均病程为11年的17例女性SUI患者行TVT术,观察手术并发症及术后症状改善情况。17例中有1例曾行膀胱颈悬吊术失败,另1例有子宫全切及直肠癌手术史。结果17例手术均成功,平均耗时30min,平均术中出血40ml,无出现膀胱穿孔及排尿障碍等并发症。术后5天内尿失禁症状消失,获治愈,随访3～12个月未复发。结论TVT术具有微创、操作简便、并发症少等优点,术后患者恢复理想,临床治愈率高,并可用于既往有盆腔手术史及SUI手术失败患者。更多还原

【Abstract】 Objective To describe the clinical curative effects of surgical treatment of female stress urinary incontinence by tension-free vaginal tap.Methods Surgical treatment of 17 women suffering from stress urinary incontinence whose average course are11years by tension-free vaginal tap.Then,observe the complications and how symptome improved after operation.In this 17 cases,one had a failure experience of bladder neck ventrofixation,another had an operation of pelvic cavity in the past.Results All operations were successed,the mean operative time was about 30 minutes,the mean amount of bleeding was 40ml.No case had the complication of bladder perforated and dysuria after operation.The urinary incontinence symptomes were disappered within 5 days after operation.During a follow up of 3～12 months,no SUI recurred.Conclusions Our result demonstrates that TVT has the virtues of small trauma、simplely manipulate and less complications.Patients recover well and have a high rate of curing.It can also be use in such patients who had operations of pelvic cavity and failure operation for SUI in the past.更多还原