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目的:评价分析改良式经闭孔无张力尿道中段悬吊术(TVT-O)与TVT-O术治疗女性压力性尿失禁(SUI)的疗效。方法:回顾性总结2007年1~10月,采用自制网片及穿刺锥行改良式TVT-O术治疗女性SUI的临床资料13例、行TVT-O治疗女性SUI的临床资料11例。结果:24例患者均治愈,改良式TVT-O术治疗13例,术中出血15~30 ml,平均20 ml,历时10~18 min,平均13 min;TVT-O术11例,术中出血15~35 ml,平均22 ml,历时10~15 min,平均12 min。两组患者术中无并发症,无膀胱损伤。术后随访至今无并发症发生。结论:改良式TVT-O术是在原有的TVT-O基础上使用自制的网片及穿刺锥,穿刺路径、方法、创伤、并发症基本相同,但费用较TVT-O明显减低,是治疗女性SUI的安全有效方法,更符合中国的国情。
OBJECTIVE: To evaluate and evaluate the efficacy of modified transobturator tension-free urethral suspension (TVT-O) and TVT-O in the treatment of female stress urinary incontinence (SUI). Methods: From January to October 2007, 13 cases of female SUI were treated with modified mesh and puncture cone modified TVT-O. The clinical data of 11 cases treated with TVT-O in female SUI were retrospectively summarized. Results: Twenty-four patients were cured. Thirteen patients were treated with modified TVT-O. The intraoperative bleeding was 15-30 ml with an average of 20 ml for 10-18 min, with an average of 13 min. Eleven patients underwent TVT- 15 ~ 35 ml, an average of 22 ml, lasted 10 ~ 15 min, an average of 12 min. Two groups of patients without complications, no bladder injury. No postoperative complications occurred. Conclusion: Modified TVT-O is based on the original TVT-O using homemade mesh and puncture cone, puncture path, method, trauma, complications are basically the same, but the cost is significantly lower than TVT-O is the treatment of women SUI’s safe and effective method, more in line with China’s national conditions.