经闭孔无张力阴道吊带术的回顾性研究
Retrospective study on tension-free vaginal tape obturator (TVT-O).
作者信息
Rajendra Malathi, Han How Chuan, Lee Lih Charn, Tseng Leng Aun Arthur, Wong Heng Fok
机构信息
Obstetrics and Gynaecology Department, Selayang Hospital, Lebuhraya Kepong-Selayang, Batu Caves, 68100 Selangor, Malaysia.
出版信息
Int Urogynecol J. 2012 Mar;23(3):327-34. doi: 10.1007/s00192-011-1552-7. Epub 2011 Sep 3.
INTRODUCTION AND HYPOTHESIS
We aim to report the 3-year outcome and complications of the tension-free vaginal tape obturator (TVT-O) in treating female stress urinary incontinence (SUI).
METHODS
Retrospective analysis for complications and outcome of surgery was performed in 419 women undergoing the TVT-O from 2004 to 2006.
RESULTS
Three patients (0.8%) with an isolated TVT-O had a blood loss of more than 200 ml. Two patients (0.5%) had bladder perforation. Out of 11 readmitted patients (2.6%), 10 were due to voiding difficulty. Six patients (1.4%) required tape loosening or division. Persistent pain occurred in 3.6% and erosion in 2.4% of patients. One hundred eighty-five patients (44.2%) came for follow-up at 3 years. The actual subjective and objective success rates were 89.7% and 99.9% at 3 years follow-up, respectively. With imputation, the 3-year subjective and objective success rates were 86.9% and 97.4%, respectively.
CONCLUSIONS
The TVT-O is effective in treating female SUI with minimal complications.
引言与假设
我们旨在报告无张力阴道吊带闭孔术（TVT-O）治疗女性压力性尿失禁（SUI）的3年疗效及并发症情况。
方法
对2004年至2006年期间接受TVT-O手术的419名女性患者的手术并发症及疗效进行回顾性分析。
结果
3例（0.8%）单纯TVT-O手术患者失血超过200 ml。2例（0.5%）发生膀胱穿孔。11例再次入院患者（2.6%）中，10例是由于排尿困难。6例（1.4%）患者需要松解或切断吊带。3.6%的患者出现持续性疼痛，2.4%的患者出现侵蚀。185例患者（44.2%）进行了3年随访。3年随访时实际主观和客观成功率分别为89.7%和99.9%。经推算，3年主观和客观成功率分别为86.9%和97.4%。
结论
TVT-O治疗女性SUI疗效显著，并发症极少。
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