Olsson Ingegerd, Abrahamsson Anna-Karin, Kroon Ulla-Beth
Department of Obstetrics and Gynaecology, Northern Alvsborg Hospital, NAL, Trollhättan, Sweden,
Int Urogynecol J. 2010 Jun;21(6):679-83. doi: 10.1007/s00192-009-1083-7. Epub 2010 Jan 13.
The aim was to evaluate the long-term cure rates and the late complications of the tension-free vaginal tape (TVT).
One hundred and forty-seven women with stress incontinence underwent surgery at our clinic between 1994 and 1997. At the time of follow-up, 128 were alive, 104 attended an objective evaluation at the clinic, while 20 women were contacted by telephone for an extensive interview. Eighty-four percent were assessed in a retrospective study 10-13 (11.5) years post-operatively. The evaluation included a stress test and, if this test was positive, also a 24-h pad-weighing test, the same questionnaire about urinary symptoms as that used pre-operatively and a visual analogue scale.
The objective cure rate was 84%. The subjective cure rate was 77%, while 18% had improved. Ninety-four percent of the patients were satisfied with the surgical result. No late adverse effects of the operation were found.
The TVT procedure is effective and safe for more than 10 years.
目的是评估无张力阴道吊带术（TVT）的长期治愈率和远期并发症。
1994年至1997年间，147例压力性尿失禁女性在我们诊所接受了手术。随访时，128例存活，104例在诊所接受了客观评估，20例通过电话进行了详细访谈。84%的患者在术后10 - 13（11.5）年进行了回顾性研究评估。评估包括压力试验，如果该试验呈阳性，还包括24小时护垫称重试验、与术前相同的关于泌尿系统症状的问卷以及视觉模拟评分。
客观治愈率为84%。主观治愈率为77%，18%有所改善。94%的患者对手术结果满意。未发现手术的远期不良反应。
TVT手术在10多年的时间里有效且安全。
