Bjelic-Radisic Vesna, Dorfer Martha, Greimel Elfriede, Frudinger Andrea, Tamussino Karl, Winter Raimund
Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Am J Obstet Gynecol. 2006 Dec;195(6):1784-8. doi: 10.1016/j.ajog.2006.07.014.
The purpose of this study was to evaluate changes in condition-specific and generic quality of life (QOL) and continence rates 1 year after the tension-free vaginal tape (TVT) operation for stress urinary incontinence.
A total of 99 patients undergoing the TVT operation underwent clinical and urodynamic assessment and completed the German language King's Health Questionnaire (KHQ) and the Short Form 36 (SF-36) before and 3 and 12 months after surgery. Overall, 72 TVTs were performed as isolated procedure and 27 in combination with other operations. Data were analyzed with the Chi-square test, analyses of variance, and the Tukey test.
Overall, the objective continence rate was 80% at 1 year and did not differ significantly between patients with or without concomitant surgery. Significant and clinically relevant (>10 points) improvements were seen in all domains of the KHQ except General Health perception. The SF-36 showed statistically significant but not clinically significant improvement.
The TVT operation is associated with improved condition-specific QOL in women with stress urinary incontinence. The condition-specific KHQ is more appropriate than the generic SF-36 for evaluating treatment results in women treated for incontinence.
本研究旨在评估无张力阴道吊带术（TVT）治疗压力性尿失禁术后1年特定疾病及一般生活质量（QOL）的变化以及控尿率。
共有99例行TVT手术的患者接受了临床和尿动力学评估，并在手术前、术后3个月和12个月完成了德语版的国王健康问卷（KHQ）和简明健康状况调查问卷（SF - 36）。总体而言，72例TVT手术为单独进行，27例与其他手术联合进行。数据采用卡方检验、方差分析和Tukey检验进行分析。
总体而言，1年时客观控尿率为80%，伴或不伴同期手术的患者之间无显著差异。除总体健康感知外，KHQ的所有领域均有显著且具有临床意义（>10分）的改善。SF - 36显示出统计学上的显著改善，但无临床意义。
TVT手术可改善压力性尿失禁女性的特定疾病生活质量。对于评估尿失禁治疗女性的治疗效果，特定疾病的KHQ比一般的SF - 36更合适。
Zotero 插件