超重和肥胖女性无张力阴道吊带术（TVT）治疗中尿道吊带的一年疗效
One-year outcomes of tension-free vaginal tape (TVT) mid-urethral slings in overweight and obese women.
作者信息
Killingsworth Lindsay B, Wheeler Thomas L, Burgio Kathryn L, Martirosian Tovia E, Redden David T, Richter Holly E
机构信息
Department of Obstetrics and Gynecology, University of Alabama at Birmingham, 618 South 18th Street, NHB Room 219, Birmingham, AL, USA.
出版信息
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Sep;20(9):1103-8. doi: 10.1007/s00192-009-0909-7. Epub 2009 May 16.
INTRODUCTION
The purpose of this study was to assess the impact of body mass index (BMI) on tension-free vaginal tape (TVT) success rates, patient satisfaction, and complications 1 year following surgery.
METHODS
Baseline and 1-year postsurgery outcomes were abstracted, including Urogenital Distress Inventory (UDI-6) scores, Incontinence Impact Questionnaire (IIQ-7) scores, and patient satisfaction ratings. Multivariable logistic and linear regression analyses were performed to examine relationships between outcomes and BMI.
RESULTS
Subjects (N = 195) with a mean age of 59.3 +/- 12.6 were included. There was significant improvement within each group (all p values <0.01) in total UDI-6 and IIQ-7 scores from baseline to 1 year postsurgery; all groups had high patient satisfaction. No differences in improvement or complications rates were observed among the BMI cohorts (all p values >0.05).
CONCLUSION
Differential counseling of overweight or obese women regarding outcomes of the TVT procedure is not supported by these results; longer follow-up is warranted.
引言
本研究旨在评估体重指数（BMI）对无张力阴道吊带术（TVT）术后1年成功率、患者满意度及并发症的影响。
方法
提取基线及术后1年的结果，包括泌尿生殖系统困扰量表（UDI-6）评分、尿失禁影响问卷（IIQ-7）评分及患者满意度评级。进行多变量逻辑回归和线性回归分析以检验结果与BMI之间的关系。
结果
纳入平均年龄为59.3±12.6岁的受试者195例。从基线到术后1年，每组的总UDI-6和IIQ-7评分均有显著改善（所有p值<0.01）；所有组的患者满意度均较高。在BMI队列中，未观察到改善或并发症发生率的差异（所有p值>0.05）。
结论
这些结果不支持对超重或肥胖女性就TVT手术结果进行差异化咨询；有必要进行更长时间的随访。
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