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目的研究经闭孔无张力尿道中段吊带术(TVT-O)治疗女性压力性尿失禁的临床疗效和意义。方法将15例女性压力性尿失禁病人进行TVT-O手术治疗,观察症状改善。结果 15例接受手术,随访12～18个月,手术时间20～38 min,平均28 min,出血量均<20 mL,术后24 h拔除导尿管,1例自觉会阴部不适,尿失禁症状明显改善14例,排尿困难1例,药物治疗后排尿正常。结论经闭孔无张力尿道中段吊带术治疗女性压力性尿失禁,疗效肯定,创口小,并发症少,安全可靠。
Objective To study the clinical efficacy and significance of transthoracic tension-free urethral middle sling (TVT-O) in the treatment of female stress urinary incontinence. Methods Fifteen female stress urinary incontinence patients were treated with TVT-O and the symptoms were observed. Results Fifteen patients were followed up for 12-18 months. The operation time was 20-38 min with an average of 28 min. The bleeding volume was less than 20 mL. The catheter was removed 24 h after surgery. One patient had perineal discomfort and symptoms of urinary incontinence Significant improvement in 14 cases, dysuria in 1 case, normal urination after drug treatment. Conclusion Transtibial tension-free mid-urethral sling surgery for female stress urinary incontinence has definite curative effect, less invasiveness, less complications, and is safe and reliable.