盆腔器官脱垂和压力性尿失禁女性的手术策略
Surgical strategies for women with pelvic organ prolapse and urinary stress incontinence.
作者信息
Borstad Ellen, Abdelnoor Michael, Staff Anne Cathrine, Kulseng-Hanssen Sigurd
机构信息
Department of Obstetrics and Gynaecology, Oslo University Hospital, Ulleval, 0407, Oslo, Norway.
出版信息
Int Urogynecol J. 2010 Feb;21(2):179-86. doi: 10.1007/s00192-009-1007-6. Epub 2009 Nov 26.
INTRODUCTION AND HYPOTHESIS
This study aims to compare the result of an incontinence procedure performed at the time of prolapse repair or 3 months later in women with pelvic organ prolapse (POP) and stress urinary incontinence (SUI).
METHODS
In a multicenter prospective randomized trial, women with POP and SUI were randomized to have a tension-free vaginal tape (TVT) at the time of prolapse repair (n = 87; group I) or 3 months later (n = 94; group II). Women in group II were evaluated for SUI 3 months after the prolapse repair. Those with confirmed SUI had a TVT performed (n = 53). The main evaluation of all women was 1 year after the last surgery.
RESULTS
On-treatment analysis resulted in 95% cure of SUI in group I and 89% in group II (p = 0.12). Twenty-seven percent were cured after prolapse surgery alone.
CONCLUSIONS
No differences were found between the two treatment strategies, but almost one third of women were cured of SUI by prolapse surgery alone.
引言与假设
本研究旨在比较盆腔器官脱垂（POP）和压力性尿失禁（SUI）女性在脱垂修复时或3个月后进行尿失禁手术的结果。
方法
在一项多中心前瞻性随机试验中，患有POP和SUI的女性被随机分为两组，一组在脱垂修复时接受无张力阴道吊带术（TVT）（n = 87；第一组），另一组在3个月后接受（n = 94；第二组）。第二组女性在脱垂修复3个月后接受SUI评估。确诊为SUI的患者接受TVT手术（n = 53）。所有女性的主要评估在最后一次手术后1年进行。
结果
治疗分析显示，第一组SUI治愈率为95%，第二组为89%（p = 0.12）。仅脱垂手术就使27%的患者治愈。
结论
两种治疗策略之间未发现差异，但几乎三分之一的女性仅通过脱垂手术就治愈了SUI。
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