女性压力性尿失禁无张力阴道吊带术的长期疗效：6年以上随访
Long-term results of tension-free vaginal tape for female urinary incontinence: follow up over 6 years.
作者信息
Deffieux Xavier, Donnadieu Anne Claire, Porcher Raphaël, Gervaise Amelie, Frydman Rene, Fernandez Herve
机构信息
AP-HP, Groupe Hospitalier Universitaire Sud, Hôpital Antoine Béclère, Service de Gynécologie Obstétrique, Clamart, France.
出版信息
Int J Urol. 2007 Jun;14(6):521-6. doi: 10.1111/j.1442-2042.2006.01722.x.
OBJECTIVE
To describe the long-term outcome of using tension-free vaginal tape (TVT) with and without associated procedures.
METHODS
A questionnaire was mailed to a population of 61 women who had undergone TVT surgery more than 6 years ago. Of this population, 41 (80%) had suffered from stress urinary incontinence (SUI). The questionnaire included questions about urinary symptoms, satisfaction and quality of life. The questionnaire was answered by 51 of the 61 women.
RESULTS
Mean follow up was 83 months. The women with SUI had a persistent cure rate of 80% with a satisfaction rate of 97%. The cure rate after 6 years was 37% in women with mixed incontinence. Concomitant hysterectomy (relative risks = 0.87) and body mass index (BMI) do not alter the long-term results of TVT procedure. Peroperative bladder injury is not associated with an increased risk of long-term lower urinary tract symptoms (LUTS) or with a decreased satisfaction rate (relative risks = 0.85).
CONCLUSIONS
Concomitant hysterectomy, increased BMI and bladder injury do not alter good long-term results of TVT.
目的
描述使用无张力阴道吊带术（TVT）并伴有或不伴有相关手术的长期疗效。
方法
向61名6年多前接受过TVT手术的女性群体邮寄了一份调查问卷。在该群体中，41名（80%）患有压力性尿失禁（SUI）。调查问卷包括有关泌尿系统症状、满意度和生活质量的问题。61名女性中有51名回答了问卷。
结果
平均随访时间为83个月。患有SUI的女性持续治愈率为80%，满意率为97%。混合性尿失禁女性6年后的治愈率为37%。同期子宫切除术（相对风险=0.87）和体重指数（BMI）不会改变TVT手术的长期疗效。术中膀胱损伤与长期下尿路症状（LUTS）风险增加或满意率降低无关（相对风险=0.85）。
结论
同期子宫切除术、BMI增加和膀胱损伤不会改变TVT良好的长期疗效。
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