自体筋膜吊带术与无张力阴道吊带术后的临床及生活质量结果：一项前瞻性随机试验
Clinical and quality-of-life outcomes after autologous fascial sling and tension-free vaginal tape: a prospective randomized trial.
作者信息
Amaro Joao L, Yamamoto Hamilto, Kawano Paulo R, Barros Guilherme, Gameiro Monica O O, Agostinho Aparecido D
机构信息
Department of Urology, School of Medicine, UNESP, Botucatu, Sao Paulo, Brazil.
出版信息
Int Braz J Urol. 2009 Jan-Feb;35(1):60-6; discussion 66-7. doi: 10.1590/s1677-55382009000100010.
PURPOSE
Evaluate the impact autologous fascial sling (AFS) and tension-free vaginal tape (TVT) procedures on quality-of-life in incontinent women.
MATERIALS AND METHODS
Forty-one women were randomly distributed into two groups. Group G1 (n = 21), underwent AFS and group G2 (n = 20) TVT implant. The clinical follow up was performed at 1, 6, 12 and 36 months.
RESULTS
TVT operative time was significantly shorter than AFS. Cure rates were 71% at 1 month, 57% at 6 and 12 months in G1. In G2, cure rates were 75% at 1 month, 70% at 6 months and 65% at 12 months; there was no significant difference between groups. As regards the satisfaction rate, there was no statistical difference between groups. Analysis of quality of life at 36 months revealed that there was no significant difference between groups.
CONCLUSION
Similar results between AFS and TVT, except for operative time were shorter in TVT.
目的
评估自体筋膜吊带（AFS）和无张力阴道吊带（TVT）手术对尿失禁女性生活质量的影响。
材料与方法
41名女性被随机分为两组。G1组（n = 21）接受AFS手术，G2组（n = 20）接受TVT植入术。在1、6、12和36个月进行临床随访。
结果
TVT手术时间明显短于AFS。G1组1个月时治愈率为71%，6个月和12个月时为57%。G2组1个月时治愈率为75%，6个月时为70%，12个月时为65%；两组之间无显著差异。关于满意率，两组之间无统计学差异。36个月时生活质量分析显示两组之间无显著差异。
结论
AFS和TVT结果相似，除了TVT手术时间更短。
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