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[目的]探讨耻骨后无张力阴道吊带术(TVT)及经闭孔无张力阴道吊带术(TVT-O)治疗女性压力性尿失禁的临床疗效及其对患者术后生活质量的影响。[方法]对149例女性压力尿失禁患者采用TVT术(70例)及TVT-O术(79例)治疗,术后分别使用Grouts-Blaivas评分法评价治疗效果,术后随访12个月,参考尿失禁生活质量问卷对患者手术后生活质量进行了解。[结果]两种手术均成功,患者术后心理健康、生理健康、社交状况显著改善(P﹤0.01),家庭生活也有明显好转(P﹤0.05),患者生活质量明显提高。[结论]两种手术方法治疗女性压力性尿失禁均有效,患者健康状况和生活质量明显提高。TVT-O较TVT操作方法简单,便于实行。
[Objective] To investigate the clinical efficacy of TVT and TVT-O in the treatment of female stress urinary incontinence and its influence on postoperative quality of life. [Method] A total of 149 female stress urinary incontinence patients were treated with TVT (79 cases) and TVT-O (79 cases). The therapeutic effect was assessed by Grouts-Blaivas score after operation. The patients were followed up for 12 months Urinary incontinence quality of life questionnaire to understand the quality of life of patients after surgery. [Results] Both operations were successful. The postoperative mental health, physical health and social condition were significantly improved (P <0.01), and family life was significantly improved (P <0.05). The quality of life of patients was significantly improved. [Conclusion] Both surgical methods are effective in treating female stress urinary incontinence, and their health and quality of life are significantly improved. TVT-O than TVT operation method is simple and easy to implement.