经阴道无张力尿道中段吊带术与耻骨后尿道悬吊术对比：一项针对混合性尿动力学压力性尿失禁和逼尿肌过度活动患者的病例对照研究
TVT vs TOT: a case controlled study in patients with mixed urodynamic stress incontinence and detrusor overactivity.
作者信息
Duckett Jonathan R A, Basu Maya
机构信息
Medway Maritime Hospital, Windmill Road, Gillingham, Kent, ME7 5NY, UK.
出版信息
Int Urogynecol J. 2010 Jul;21(7):763-6. doi: 10.1007/s00192-010-1115-3. Epub 2010 Feb 24.
INTRODUCTION
Although transobturator tapes (TOT) have been suggested to be equivalent to retropubic tension-free vaginal tapes (TVT) in the management of urodynamic stress incontinence, there is very little evidence for their use in women with mixed incontinence. The aim of this study was to evaluate the efficacy of the TOT against the retropubic TVT in women with mixed incontinence.
PATIENTS AND METHODS
A case controlled study was used with 34 women matched for age and type of procedure.
RESULTS
Ten out of 34 (29.4%) patients in the TOT group required a repeat continence procedure versus 0/34 (0%) in the retropubic group. Patients who had undergone a TOT were significantly more likely to require repeat surgery (odds ratio 10.1, 95% confidence interval 2.6-38.2).
CONCLUSIONS
This study suggests a higher failure rate in women undergoing a TOT for USI and DO compared to a retropubic TVT when assessed with a case controlled study.
引言
尽管经闭孔尿道中段吊带术（TOT）在治疗尿动力学压力性尿失禁方面被认为等同于耻骨后无张力阴道吊带术（TVT），但几乎没有证据表明其可用于混合性尿失禁女性。本研究的目的是评估TOT与耻骨后TVT治疗混合性尿失禁女性的疗效。
患者与方法
采用病例对照研究，34名年龄和手术类型匹配的女性参与。
结果
TOT组34名患者中有10名（29.4%）需要再次进行控尿手术，而耻骨后组为0/34（0%）。接受TOT手术的患者更有可能需要再次手术（优势比10.1，95%置信区间2.6 - 38.2）。
结论
该病例对照研究评估显示，与耻骨后TVT相比，接受TOT治疗混合性尿失禁和真性压力性尿失禁的女性失败率更高。
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