Daraï Emile, Jeffry Louis, Deval Bruno, Birsan Anca, Kadoch Olivier, Soriano David
Service de Gynécologie-Obstétrique, Hôpital Hôtel-Dieu de Paris, Hôpital Tenon, AP-HP, 4 rue de la Chine, 75020, Paris, France.
Eur J Obstet Gynecol Reprod Biol. 2002 Jul 10;103(2):163-7. doi: 10.1016/s0301-2115(02)00030-1.
To assess complications and cure rates of tension-free vaginal tape (TVT) procedure performed with or without vaginal hysterectomy.
Retrospective comparison of 41 women with urinary incontinence treated by a TVT procedure alone and 40 combined with vaginal hysterectomy. Objective cure was evaluated by clinical and urodynamic examination and by the contilife questionnaire. All patients were operated under regional anesthesia.
The two groups were similar in age, parity, menopausal status and type and severity of incontinence. There was no difference in overall complication rates. In the TVT-hysterectomy group, there was a trend towards more bladder perforation (P=0.09). Post-operative urinary flow was lower in the TVT-hysterectomy group: 14 versus 24 ml/pc (P=0.02). The mean follow-up was similar: 23 and 25 months, respectively. No difference in objective and subjective cure rates was found between TVT group and TVT-hysterectomy group: 97.6% versus 92.5% and 68.3% versus 75%, respectively.
TVT is a safe and effective surgical treatment of urinary incontinence. The association of the procedure with vaginal hysterectomy gave similar short-term objective and subjective cure rates than TVT technique alone.
评估在有或无阴道子宫切除术的情况下进行无张力阴道吊带术（TVT）的并发症及治愈率。
对41例仅接受TVT手术治疗的尿失禁女性和40例接受TVT联合阴道子宫切除术的女性进行回顾性比较。通过临床和尿动力学检查以及连续生活问卷评估客观治愈率。所有患者均在区域麻醉下进行手术。
两组在年龄、产次、绝经状态以及尿失禁类型和严重程度方面相似。总体并发症发生率无差异。在TVT-子宫切除术组中，膀胱穿孔有增加趋势（P = 0.09）。TVT-子宫切除术组术后尿流率较低：分别为14与24毫升/次（P = 0.02）。平均随访时间相似：分别为23个月和25个月。TVT组与TVT-子宫切除术组之间在客观和主观治愈率方面未发现差异：分别为97.6%与92.5%以及68.3%与75%。
TVT是一种安全有效的尿失禁手术治疗方法。该手术与阴道子宫切除术联合应用的短期客观和主观治愈率与单纯TVT技术相似。
