Kurien Alice, Narang Sarita, Han How Chuan
Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore.
Department of Urogynaecology, KK Women's and Children's Hospital, Singapore.
Singapore Med J. 2017 Jun;58(6):338-342. doi: 10.11622/smedj.2016149. Epub 2016 Sep 9.
We aimed to study the efficacy and safety of the tension-free vaginal tape (TVT)-Abbrevo procedure for female stress urinary incontinence (SUI).
This was a prospective cohort study that aimed to determine the subjective and objective cure, improvement of SUI and incidence of complications among women who underwent TVT-Abbrevo for SUI during a period of 22 months from September 2011 to June 2013.
A total of 76 patients, with a mean age of 48.2 ± 8.1 years, underwent TVT-Abbrevo during the study period. Among them, 86.8% had vaginal delivery and 5.3% had instrumental delivery. Mean parity was 2.3 ± 0.8 and mean body mass index was 27.0 ± 5.0 kg/m. 11 (14.5%) patients had previously tried physiotherapy. Mean follow-up duration was 12.3 ± 5.6 months. The subjective cure rate for SUI at one-month, six-month and one-year follow-up was 95.7%, 90.8%, and 90.6%, respectively. Among the nine patients who completed the two-year follow-up, 88.9% reported either cure or improvement of SUI. At six months, the proportion of patients with objective cure was 86.8%, and the rates of postoperative groin pain and complications were low. In addition, overactive bladder symptoms disappeared in 76.3% of patients.
Our results are comparable with those of other studies, although long-term results remain to be seen.
我们旨在研究无张力阴道吊带（TVT）-Abbrevo手术治疗女性压力性尿失禁（SUI）的疗效和安全性。
这是一项前瞻性队列研究，旨在确定2011年9月至2013年6月期间接受TVT-Abbrevo治疗SUI的女性患者的主观和客观治愈率、SUI的改善情况以及并发症发生率。
在研究期间，共有76例患者接受了TVT-Abbrevo手术，平均年龄为48.2±8.1岁。其中，86.8%为经阴道分娩，5.3%为器械助产。平均产次为2.3±0.8，平均体重指数为27.0±5.0kg/m²。11例（14.5%）患者此前曾尝试过物理治疗。平均随访时间为12.3±5.6个月。在1个月、6个月和1年随访时，SUI的主观治愈率分别为95.7%、90.8%和90.6%。在完成两年随访的9例患者中，88.9%报告SUI治愈或改善。在6个月时，客观治愈率为86.8%，术后腹股沟疼痛和并发症发生率较低。此外，76.3%的患者膀胱过度活动症症状消失。
尽管长期结果仍有待观察，但我们的结果与其他研究结果相当。
