经闭孔尿道中段悬吊带术、无张力阴道吊带术及经阴道无张力阴道吊带术-闭孔术治疗女性压力性尿失禁：一项系统评价和网状Meta分析
Transobturator tape, tension-free vaginal tape, and transvaginal tension-free vaginal tape-obturator for the treatment of female stress urinary incontinence: A systematic review and network meta-analysis.
作者信息
Wang Huitao, Liu Jinhong, Fang Kewei, Liu Jianhe, Chen Tao, Yang Tongxin, Shi Xin
机构信息
Department of Urology, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China.
Department of Urology, Jiangbin Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
出版信息
Int J Gynaecol Obstet. 2022 Jun;157(3):527-535. doi: 10.1002/ijgo.13790. Epub 2021 Jul 9.
OBJECTIVE
To systematically review the safety and effectiveness of tension-free vaginal tape (TVT), transobturator tape (TOT), and transvaginal tension-free vaginal tape-obturator (TVT-O) in the treatment of stress urinary incontinence (SUI).
METHODS
The PubMed, Embase, The Cochrane Library, Web of Science, WanFang Data, and CNKI were electronically searched. A total of 22 trials involving 3709 patients were included.
RESULTS
The objective cure rate was better with TVT than with TOT and TVT-O. The incidence of postoperative thigh/groin pain was lower with TVT than with TOT and TVT-O, but the incidence of dysuria was higher with TVT than with TVT-O. The incidence of lower urinary tract infection was higher with TVT than with TOT.
CONCLUSION
Tension-free vaginal tape may have a better outcome compared to TOT and TVT-O, but the risk of dysuria and lower urinary tract infection is higher with SUI.
目的
系统评价无张力阴道吊带术（TVT）、经闭孔无张力阴道吊带术（TOT）和经阴道无张力阴道吊带闭孔术（TVT-O）治疗压力性尿失禁（SUI）的安全性和有效性。
方法
电子检索PubMed、Embase、Cochrane图书馆、Web of Science、万方数据和中国知网。共纳入22项试验，涉及3709例患者。
结果
TVT的客观治愈率优于TOT和TVT-O。TVT术后大腿/腹股沟疼痛的发生率低于TOT和TVT-O，但TVT的排尿困难发生率高于TVT-O。TVT下尿路感染的发生率高于TOT。
结论
与TOT和TVT-O相比，无张力阴道吊带术可能有更好的疗效，但SUI患者发生排尿困难和下尿路感染的风险更高。
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