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目的探索压力性尿失禁老年女性患者的手术方法及医学价值。方法 78例老年女性压力性尿失禁患者均同意接受研究,经闭孔中段尿道无张力吊带术(TOT)43例作为对照组,改良经闭孔无张力尿道中段悬吊带术(TVT-O)35例作为观察组,对比两种手术方法的治疗效果。结果对照组患者接受TOT后,治疗总有效率93.02%。观察组患者接受TVT-O后,治疗总有效率94.29%。两组压力性尿失禁老年女性患者的疗效比较,差异无统计学意义(P>0.05)。对照组患者接受TOT后,并发症发生率为18.60%。观察组患者接受TVT-O后,并发症发生率仅为5.71%。两组压力性尿失禁老年女性患者的并发症发生率比较,差异有统计学意义(P<0.05)。结论 TOT和TVT-O实践于压力性尿失禁老年女性患者切实可行,疗效相似,但TVT-O相对更为安全。
Objective To explore the surgical methods and medical value of elderly female patients with stress urinary incontinence. Methods Seventy-eight elderly female stress urinary incontinence patients were enrolled in the study. In the middle of the obturator hole, 43 cases of TOT were used as control group, and the tension-free transthoracic urethral suspension (TVT-O) 35 Cases as the observation group, compared the two surgical methods of treatment. Results The control group received TOT, the total effective rate was 93.02%. The observation group received TVT-O, the total effective rate of 94.29%. The two groups of stress urinary incontinence in elderly women compared efficacy, the difference was not statistically significant (P> 0.05). The control group received TOT, the complication rate was 18.60%. After receiving TVT-O in observation group, the complication rate was only 5.71%. The incidence of complications in elderly female patients with stress urinary incontinence was significantly different (P <0.05). Conclusion TOT and TVT-O are practicable in elderly female patients with stress urinary incontinence. The curative effect is similar, but TVT-O is relatively safer.