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目的观察经阴道无张力尿道悬吊带(TVT)手术与经闭孔无张力尿道中段悬吊术(TVT-0)手术治疗女性压力性尿失禁(SUI)临床疗效。方法回顾性分析从2005年5月—2010年4月在新疆伊犁州妇幼保健院妇科行TVT和TVT-0手术的68例患者临床资料。结果与TVT手术相比较,TVT-0手术操作时间短,为(20.37±5.42)min,约减少10 min;出血量少,为(20.26±2.45)ml,约减少10 ml;膀胱损伤发生率小。二者相比较,差异均具有统计学意义(P=0.00)。平均住院天数、排尿困难、尿潴留的发生率差异无统计学意义(P>0.05),且2种手术方法中尿潴留、排尿困难等并发症发生率均较高。结论 TVT-0手术具有简便快捷、安全、微创、并发症少的优点,是治疗女性SUI的有效方法。
Objective To observe the clinical efficacy of transvaginal tension-free urethral stenosis (TVT) and transtibial tension-free urethral middle suspension (TVT-0) in the treatment of female stress urinary incontinence (SUI). Methods The clinical data of 68 patients who underwent gynecological TVT and TVT-0 operation from May 2005 to April 2010 in Yili Maternal and Child Health Hospital of Xinjiang Uygur Autonomous Region were retrospectively analyzed. Results Compared with TVT, the operation time of TVT-0 was short (20.37 ± 5.42) min, about 10 min, and the amount of bleeding was less (20.26 ± 2.45) ml, about 10 ml less. The incidence of bladder injury was smaller . The differences between the two groups were statistically significant (P = 0.00). There was no significant difference in average length of hospital stay, dysuria and urinary retention (P> 0.05), and complications such as urinary retention and dysuria were higher in the two surgical methods. Conclusion TVT-0 surgery has the advantages of simple, quick, safe, minimally invasive, less complications, and is an effective method for the treatment of SUI in women.