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目的:探讨经闭孔无张力尿道中段悬吊术(TVT-O)治疗女性压力性尿失禁的方法、疗效及注意事项。方法:收集我院2008年1月～2011年12月收治的压力性尿失禁患者60例的临床资料,均行闭孔无张力尿道中段悬吊术治疗。结果:全部患者手术顺利,手术时间10～30分钟,平均15分钟,术中出血10～20ml,平均15ml,术后无出血、水肿、感染及排斥反应,术后72小时拔除尿管后尿失禁消失54例,咳嗽增加腹压后偶有尿液溢出6例。住院天数4～6天,平均5天。随访2～24个月,无复发病例。结论:操作简便、手术时间短、创伤小、疗效确切、吊带悬吊程度可随意调整,尤其无膀胱损伤的并发症[1],恢复快,目前未发现有排异反应,保证了长期的治疗效果,易于推广。
Objective: To investigate the method, efficacy and precautions of transurethral anterior tension-free urethral suspension (TVT-O) in the treatment of female stress urinary incontinence. Methods: Clinical data of 60 patients with stress urinary incontinence admitted in our hospital from January 2008 to December 2011 were collected, and all patients underwent closed-loop tension-free mid-urethral suspension. Results: All the patients underwent surgery successfully. The operation time was 10 to 30 minutes with an average of 15 minutes. The intraoperative bleeding ranged from 10 to 20ml with an average of 15ml. No bleeding, edema, infection and rejection were found after operation. Postoperative urinary incontinence Disappeared in 54 cases, cough increased abdominal pressure after occasional urine overflow in 6 cases. Hospitalization days 4 to 6 days, an average of 5 days. Follow-up 2 to 24 months, no recurrence. Conclusion: The operation is simple, the operation time is short, the trauma is small, the curative effect is correct, the degree of suspension of the sling can be adjusted freely, especially the complication of no bladder injury [1], fast recovery, no abnormal reaction and no long-term treatment Effect, easy to promote.