压力性尿失禁肥胖女性中无张力阴道吊带与经闭孔吊带的疗效及安全性比较：一项回顾性队列研究
Efficacy and safety of tension-free vaginal tape compared with transobturator tape among obese women with stress urinary incontinence: a retrospective cohort study.
作者信息
Miranda Victor, Pineda Rodrigo, Lovatsis Danny, Alarab May, Drutz Harold
机构信息
Mount Sinai Hospital, Department of Obstetrics and Gynecology, University of Toronto, Toronto ON; Department of Obstetrics and Gynecology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Department of Obstetrics and Gynecology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
出版信息
J Obstet Gynaecol Can. 2012 Aug;34(8):755-759. doi: 10.1016/S1701-2163(16)35339-7.
OBJECTIVE
To determine the efficacy and safety of tension-free vaginal tape (TVT) compared with transobturator tape (TOT) in obese women with stress urinary incontinence (SUI).
METHODS
We performed a retrospective chart review of patients who underwent insertion of TVT or TOT for stress urinary incontinence between January 2003 and October 2009. Women were excluded if they had had previous surgery for SUI or had a diagnosis of intrinsic sphincter deficiency.
RESULTS
One hundred eighty obese women (BMI > 30 kg/m²) with SUI and with follow-up for at least one year were identified (90 had TVT and 90 had TOT). The rates of success on the objective criteria were 91% for the TVT group and 88% for the TOT group (P = 0.46) and 87% versus 80% (P = 0.23) on subjective assessment.
CONCLUSION
Our retrospective cohort study demonstrated similar rates of cure for obese women with SUI who underwent insertion of TVT and TOT.
目的
比较无张力阴道吊带术（TVT）与经闭孔尿道中段吊带术（TOT）治疗肥胖女性压力性尿失禁（SUI）的疗效和安全性。
方法
我们对2003年1月至2009年10月期间因压力性尿失禁接受TVT或TOT植入术的患者进行了回顾性病历审查。如果女性曾因压力性尿失禁接受过手术或被诊断为固有括约肌缺陷，则将其排除。
结果
确定了180名患有压力性尿失禁且至少随访一年的肥胖女性（BMI>30kg/m²）（90名接受TVT，90名接受TOT）。客观标准下TVT组的成功率为91%，TOT组为88%（P=0.46），主观评估中分别为87%和80%（P=0.23）。
结论
我们的回顾性队列研究表明，接受TVT和TOT植入术的肥胖压力性尿失禁女性的治愈率相似。
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