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目的通过比较女性压力性尿失禁患者实施经闭孔尿道中段悬吊术前后棉签实验角度的值来确定其在预测手术效果中的价值。方法 2010年6月—2012年6月,61名压力性尿失禁妇女接受TVT–O手术,至少随访6个月。棉签实验中最大角度大于30°称为尿道过度活动。评估的参数包括一个全面的病史,体格检查,棉签测试,压力测试和尿流动力学分析,其中包括确定漏尿点压力(LPP)压力。术后不出现主观或客观漏尿即为治愈,而在压力测试中尿液的客观损失则为失败。结果根据术前棉签实验角度,患者分成两组:组1:棉签实验角度<30°,N=22和组2:棉签角度≥30°,N=39)。两组的棉签实验角度均明显下降:第1组从术前(26.9±5.67)°降至术后(17.7±6.73)°(P=0.03),第2组从术前(37.5±5.97)°降至术后(23.9±4.97)°(P=0.02)。2组差异明显突出。第2组尿失禁的治愈率(97.4%)显着高于第1组(85.7%,P=0.04)。结论尿道近端的高活动度与TVT-O手术的成功率高度相关。
Objective To compare the value of the cotton swab angle before and after transobturator diaphragms with female stress urinary incontinence to determine its value in predicting surgical outcomes. Methods From June 2010 to June 2012, 61 stress incontinence women underwent TVT-O surgery for at least 6 months. Cotton swab experiments in the largest angle greater than 30 ° known as urethra over activity. The parameters assessed included a comprehensive medical history, physical examination, swab test, stress test and urodynamic analysis, including the determination of pressure at the leak point (LPP). Postoperative subjective or objective leakage is not cured, but in the stress test, the objective loss of urine is a failure. Results The patients were divided into two groups according to the preoperative cotton swab test: Group 1: cotton swab angle <30 °, N = 22 and group 2: cotton swab angle ≥30 °, N = 39). In the first group, the experimental angle of cotton swab decreased significantly from 26.9 ± 5.67 ° before operation to 17.7 ± 6.73 ° after operation (P = 0.03), while in the second group from 37.5 ± 5.97 ° To (23.9 ± 4.97) ° after surgery (P = 0.02). The difference between the two groups is obvious. The cure rate of urinary incontinence group 2 (97.4%) was significantly higher than that of group 1 (85.7%, P = 0.04). Conclusion The high urethral mobility is highly correlated with the success rate of TVT-O surgery.