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目的:探讨由内向外经闭孔无张力尿道悬吊术(TVT-O)与改良TVT-O治疗女性压力性尿失禁的安全性和有效性。方法:选择中、重度压力性尿失禁患者85例,随机分2组,TVT-O组40例,改良TVT-O组45例,比较两种术式的近期疗效及手术相关并发症,评估两组的安全性及有效性。结果:两组平均随访时间12个月,TVT-O组和改良TVT-O组的1年治愈率分别为87.5%和84.4%,差异无统计学意义(P>0.05)。结论:改良TVT-O术能有效治疗压力性尿失禁,近期效果确切,远期疗效有待进一步观察。
Objective: To investigate the safety and efficacy of TVT-O and modified TVT-O in the treatment of female stress urinary incontinence. Methods: Eighty-five patients with moderate or severe stress urinary incontinence were randomly divided into two groups: TVT-O group (40 cases) and modified TVT-O group (45 cases). The two groups were compared in terms of short-term curative effect and operation- Group safety and effectiveness. Results: The mean follow-up time was 12 months in both groups. The 1-year cure rates of TVT-O group and modified TVT-O group were 87.5% and 84.4% respectively, with no significant difference (P> 0.05). Conclusion: Modified TVT-O surgery can effectively treat stress urinary incontinence, the exact effect of the recent, long-term efficacy remains to be further observed.