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目的:观察经闭孔经阴道尿道中段悬吊术(TVT-O)治疗女性压力性尿失禁的疗效,并进行评价。方法:对33例女性压力性尿失禁患者经临床、尿动力学检查或膀胱尿道造影确诊,均为稳定性膀胱,无膀胱出口梗阻。确诊后行TVT-O手术疗。结果:30例患者术后拔尿管后尿失禁症状消失,随访6～24个月无复发,2例出现排尿困难,行尿道扩张后症状消失,1例出现急迫性尿失禁口服舍尼亭后好转。结论:TVT-O术操作简便,手术创伤小,手术时间短,并发症少,治愈率高,是治疗女性压力性尿失禁的有效方法。
Objective: To observe the curative effect of transurethral transurethral transection of the urethra (TVT-O) on female stress urinary incontinence. Methods: Thirty-three patients with stress urinary incontinence were diagnosed by clinical, urodynamic examination or cystography. All of them were stable bladder and had no bladder outlet obstruction. After diagnosis of TVT-O surgery. Results: The postoperative urinary incontinence symptoms disappeared in 30 patients. No recurrence occurred 6 to 24 months after follow-up. Two patients experienced dysuria and disappeared after urethral dilatation. One patient developed urge incontinence after oral administration of corticosteroids Better. Conclusion: TVT-O is an effective method for the treatment of stress urinary incontinence in women with simple operation, small trauma, short operation time, few complications and high cure rate.