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目的:探讨阴道无张力性尿道中段悬吊术(tension-freevaginaltape,TVT)用于治疗女性压力性尿失禁(stressurinaryincontinence,SUI)的临床效果。方法:已确诊的SUI女性病人30例,应用TVT治疗并对手术效果、并发症进行初步随访研究。结果:30例TVT手术患者中,除2例因术中可疑性损伤而改为尿道折叠术外,其余TVT手术均获成功,手术成功率为93.3%(28/30)。26例(92.9%)术后排尿功能良好,2例(7.1%)因膀胱功能不稳定(运动型急迫性尿失禁)而发生排尿困难,经持续导尿、膀胱训练及药物治疗后,均恢复正常排尿功能。平均手术时间为51min,术后随访1年半,所有患者排尿功能均恢复正常。结论:TVT用于治疗女性SUI效果满意。
Objective: To investigate the clinical effect of tension-free vaginal discharge (TVT) for the treatment of female stress urinary incontinence (SUI). Methods: Thirty female SUI patients were diagnosed and treated with TVT. The follow-up study was performed on the surgical effects and complications. Results: Of the 30 patients with TVT surgery, all the other TVT procedures were successful except for 2 cases of urethral collapse due to suspicious intraoperative injury. The successful rate was 93.3% (28/30). Twenty-six patients (92.9%) had good postoperative urination and 2 (7.1%) had dysuria due to unstable bladder function (exercise-induced urinary incontinence). After continuous catheterization, bladder training and medication, Normal urination function. The average operation time was 51 min, followed up for one and a half years after operation. The urinary function of all patients returned to normal. Conclusion: TVT is effective in treating female SUI.