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目的:探讨经闭孔尿道中段悬吊术治疗女性压力性尿失禁的有效性和安全性。方法:采用TOT方法治疗女性压力性尿失禁患者23例,对比分析术前术后ICI-Q-SF评分、最大尿流率、残余尿检测等临床指标进行分析。结果:术后患者随访12-36月,均治愈,无失败病例;其中手术前后ICI-Q-SF评分、尿动力学检查差异有统计学意义。结论:经闭孔尿道中段无张力悬吊术(TOT)治疗女性压力性尿失禁安全、微创、效果满意,对改善压力性尿失禁患者生活质量具有重要意义。
Objective: To investigate the effectiveness and safety of transobturator mid-urethral suspension in the treatment of female stress urinary incontinence. Methods: TOT was used to treat 23 cases of female stress urinary incontinence. The clinical indexes such as ICI-Q-SF score, maximal uroflow rate and residual urine test were analyzed before and after operation. Results: The patients were followed up for 12 to 36 months and were cured without failure cases. The ICI-Q-SF score and urodynamic examination before and after surgery were significantly different. CONCLUSION: Tension-free Tension (TOT) in the treatment of female stress urinary incontinence is safe, minimally invasive and effective in improving the quality of life of patients with stress urinary incontinence.