回顾性病例建模以评估耻骨后吊带术后早期干预对排尿功能障碍的影响。何时进行干预最佳？
Retrospective case modelling to assess the impact of early intervention for voiding dysfunction after retropubic tape. When is it best to intervene?
作者信息
Huwyler Mirjam, Burton Claire, Renganathan Arasee, Latthe Pallavi, Robinson Dudley, Parsons Matthew, Cardozo Linda, Toozs-Hobson Philip
机构信息
Birmingham Women's Hospital, Metchley Park Road, Edgbaston, Birmingham, B15 2TG, UK.
出版信息
Int Urogynecol J. 2010 Jul;21(7):823-7. doi: 10.1007/s00192-010-1104-6. Epub 2010 Feb 10.
INTRODUCTION AND HYPOTHESIS
This study is a retrospective modelling of early intervention for voiding difficulties (VD) after retropubic tape insertion.
METHODS
Chart review assessing Trial Without Catheter (TWOC) on day 2 and day 9 and long-term VD. Number needed to treat (NNT) analysis performed for presumed intervention on days 2 and 9.
RESULTS
Thirty seven (22%) of 171 patients failed TWOC on day 2, 20 (12%) on day 9. Ten (6%) had VD at 6 months. Five elected to have the tape cut. One had recurrence of SUI. NNT was 7.4:1 on day 2 and 4:1 on day 9 to avoid per tapes being cut at 6 months. Early intervention would potentially lead to six and three additional failures, respectively, assuming 80% continence. This represents over 100 per annum in the United Kingdom.
CONCLUSIONS
The majority of VD after retropubic tape insertion will resolve. Early intervention may lead to additional failures.
引言与假设
本研究是对耻骨后吊带置入术后排尿困难（VD）早期干预的回顾性建模。
方法
通过图表回顾评估术后第2天和第9天的无导尿管试验（TWOC）以及长期VD情况。对术后第2天和第9天的假定干预措施进行治疗所需人数（NNT）分析。
结果
171例患者中，37例（22%）在术后第2天TWOC失败，20例（12%）在术后第9天失败。10例（6%）在6个月时出现VD。5例选择切除吊带。1例压力性尿失禁复发。为避免在6个月时每根吊带被切除，术后第2天的NNT为7.4:1，术后第9天为4:1。假设控尿率为80%，早期干预分别可能导致另外6例和3例失败。这在英国每年超过100例。
结论
耻骨后吊带置入术后的大多数VD会自行缓解。早期干预可能导致更多失败病例。
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