Li W L, Lu Z W, Li F P, Yu H Y
Department of Urology, Affiliated Taizhou Hospital of Wenzhou Medical University, Zhejiang 317000, China.
Zhonghua Yi Xue Za Zhi. 2016 Jul 26;96(28):2238-40. doi: 10.3760/cma.j.issn.0376-2491.2016.28.008.
To compare the effectiveness and complications of TVT-Abbrevo (tension-free vaginal tape-Abbrevo) and TVT-Obturator (tension-free vaginal tape-obturator) for the treatment of female stress urinary incontinence (SUI).
From Nov.2012 to Nov.2013, 117 patients suffering from SUI were treated with TVT-Abbrebo (n=79) or TVT-Obturator (n=38) procedure, the clinical efficacy and operation-correlated complications were observed.
A total of 117 cases, 107 cases of urinary incontinence symptoms disappeared completely, 10 cases were improved. 72 cases (91.1%) were cured and 7 cases (8.9%) were improved in TVT-Abbrevo group; 35 cases (92.1%) were cured and 3 cases (7.9%) were improved in TVT-Obturator group. No significant differences could be found for the curing rates between two groups (P>0.05). Compared with the TVT-Obturator group, the TVT-Abbrevo group had less patients complaining of inner thigh pain at 24 h and 1 w after surgery (P<0.05). No significant differences were observed for the incidence of inner thigh pain at 1m and 1y after surgery between TVT-Abbrevo and TVT-Obturator group (P>0.05). No intraoperative complications such as blood vessel, nerve, bladder damage were recorded and no postoperative retropubic hematoma, tape adjustment and other complications occurred in two goups. No recurrence after 1 year follow-up.
The study shows that TVT-Abbrevo procedure is safe and efficacy in treatment of SUI, and associated with low incidence of recent postoperative inner thigh pain.
比较TVT-Abbrevo（无张力阴道吊带-Abbrevo）与TVT-闭孔（无张力阴道吊带-闭孔）治疗女性压力性尿失禁（SUI）的有效性及并发症。
2012年11月至2013年11月，117例SUI患者接受TVT-Abbrebo手术（n = 79）或TVT-闭孔手术（n = 38），观察临床疗效及手术相关并发症。
117例患者中，107例尿失禁症状完全消失，10例改善。TVT-Abbrevo组72例（91.1%）治愈，7例（8.9%）改善；TVT-闭孔组35例（92.1%）治愈，3例（7.9%）改善。两组治愈率比较差异无统计学意义（P> 0.05）。与TVT-闭孔组相比，TVT-Abbrevo组术后24小时及1周时抱怨大腿内侧疼痛的患者较少（P< 0.05）。TVT-Abbrevo组与TVT-闭孔组术后1个月及1年时大腿内侧疼痛发生率比较差异无统计学意义（P> 0.05）。术中未记录血管、神经、膀胱损伤等并发症，两组均未发生术后耻骨后血肿、吊带调整等并发症。随访1年无复发。
研究表明，TVT-Abbrevo手术治疗SUI安全有效，且术后近期大腿内侧疼痛发生率低。
