Agostini Aubert, Bretelle Florence, Franchi Fabrice, Roger Valérie, Cravello Ludovic, Blanc Bernard
Service d'Obstétrique et de Gynécologie (Pr Blanc), Hôpital La Conception, 147 Boulevard Baille, 13385 Marseille Cedex 05, France.
Eur J Obstet Gynecol Reprod Biol. 2006 Feb 1;124(2):237-9. doi: 10.1016/j.ejogrb.2005.06.035. Epub 2005 Aug 10.
The aim was to evaluate morbidity following operation using tension-free vaginal tape (TVT).
Between June 2002 and June 2003, a questionnaire was sent to French gynecologists and urologists. Participants reported the number of TVT procedures performed before January 2002, number of minor or major pre- and post-operative complications.
The questionnaire was returned by 92 participants (21 urologists and 71 gynecologists) who reported 12,280 TVT procedures (median: 100, minimum: 5, maximum: 2100). Overall, 901 preoperative bladder injuries were reported (7.34%). For 809 patients (6.59%), complete post-operative urinary retention requiring catheterization was noted. There were 26 cases of vaginal defect healing (0.21%). Retropubic or vulvovaginal hematoma was reported for 39 patients (0.32%). Ten major organ injuries were reported (0.08%): one obturator nerve injury, three bowel perforations, four vessel injuries and two ureteral injuries.
The risk of major complications following the use of tension-free vaginal tape is low. However, these potential complications require experienced surgeons for the practice of tension-free vaginal tape.
目的是评估使用无张力阴道吊带术（TVT）后的发病率。
在2002年6月至2003年6月期间，向法国妇科医生和泌尿科医生发送了一份问卷。参与者报告了2002年1月之前进行的TVT手术数量、术前和术后轻微或严重并发症的数量。
92名参与者（21名泌尿科医生和71名妇科医生）回复了问卷，他们报告了12280例TVT手术（中位数：100，最小值：5，最大值：2100）。总体而言，报告了901例术前膀胱损伤（7.34%）。809例患者（6.59%）出现术后需要导尿的完全性尿潴留。有26例阴道缺损愈合不良（0.21%）。39例患者（0.32%）报告了耻骨后或外阴阴道血肿。报告了10例主要器官损伤（0.08%）：1例闭孔神经损伤、3例肠穿孔、4例血管损伤和2例输尿管损伤。
使用无张力阴道吊带术后发生主要并发症的风险较低。然而，这些潜在并发症需要经验丰富的外科医生来实施无张力阴道吊带术。
