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目的:探讨新式阴道前壁补片修补术术式的创新性及优、缺点,以及其对女性压力性尿失禁(SUI)的近期手术疗效。方法:对2009年1月至2012年2月我院收治的106例女性SUI患者行新式阴道前壁补片修补术。采用主观评价尿失禁问卷简表(ICIQ-SF)、客观评价尿垫试验等方法评价该术式的近期手术疗效。与经典文献Burch手术及TVT等术后1年治愈率比较,探讨此手术的创新性及优、缺点。观察患者的围手术期及术后并发症情况。结果:新式阴道前壁补片修补术术后1年,患者的治愈率为90.57%,ICIQ-SF评分明显降低(P<0.001)。与Burch手术、TVT等术后1年的治愈率比较,无显著差异(P>0.05)。患者围手术期的尿路感染、排尿不尽等并发症的发生率为9.43%,尚未发现严重术后并发症。结论:本新式阴道前壁补片修补术符合手术目的预期,具有微创化、经济、近期治愈率高和术后并发症率低等优势,但中远期治疗效果需继续随访。
OBJECTIVE: To investigate the innovativeness, advantages and disadvantages of the novel vaginal anterior patch repair and its recent surgical treatment of female stress urinary incontinence (SUI). Methods: From January 2009 to February 2012, 106 female SUI patients admitted to our hospital underwent new vaginal anterior wall patch repair. Subjective evaluation of urinary incontinence questionnaire (ICIQ-SF), objective evaluation of urinary pad test and other methods to evaluate the surgical results of the recent surgery. And the classic literature Burch surgery and TVT 1 year after the cure rate compared to explore the innovation of this surgery and advantages and disadvantages. Observe the perioperative and postoperative complications of patients. Results: The rate of cure was 90.57% and the ICIQ-SF score was significantly lower (P <0.001) one year after the new vaginal anterior patch repair. And Burch surgery, TVT and other 1 year after the cure rate was no significant difference (P> 0.05). Perioperative patients with urinary tract infections, urinary complications such as urinary incontinence rate was 9.43%, no serious postoperative complications have been found. Conclusion: The new vaginal anterior wall patch repair is in line with the expected surgical purpose, with the advantages of minimally invasive, economical, high cure rate and low postoperative complications, but the long-term treatment effect should be followed up.