目的 :探讨应用经阴道无张力尿道悬吊带 (Tension -freevaginaltape .TVT)治疗女性压力性尿失禁的临床效果和常见并发症。方法 :利用弧形Trocar穿刺针将TVT从阴道前壁切口放置于尿道中段下方 ,术后 2 4h拔除导尿管自行排尿。结果 :37例中除 2例患者在拔除导尿管后出现急性尿潴留 ,经扩张尿道 ,保留导尿后恢复正常排尿。全部患者随访 3～ 12个月 ,无 1例出现压力性尿失禁复发。结论 :TVT治疗女性压力性尿失禁的疗效满意 ,手术简单 ,安全可靠 ,无严重并发症。 Objective: To investigate the clinical effect and common complications of female stress urinary incontinence treated with vaginal tension-free vaginal tape (TVT). Methods: The arc Trocar puncture needle TVT from the vaginal anterior wall incision placed in the middle of the urethra, 24 h after removal of the catheter to urinate. Results: Acute urinary retention occurred in 2 of 37 patients except urinary catheter. After urethral catheterization, urethral catheterization was resumed and urination was resumed after catheterization. All patients were followed up for 3 to 12 months, no case of stress urinary incontinence recurrence. Conclusion: The efficacy of TVT in the treatment of female stress incontinence is satisfactory. The operation is simple, safe and reliable without serious complications.