| 引用本文： |
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赵勇锋,章劲夫,夏红,等.改良TVT—O术治疗中重度女性压力性尿失禁的长期随访[J].同济大学学报（医学版）,2013,34(6):45-48. [点击复制]
- ZHAO Yong-feng,ZHANG Jin-fu,XIA Hong,et al.Long-term efficacy of tension-free vaginal tape-obturator in treatment of female moderate or severe stress urinary incontinence[J].同济大学学报（医学版）,2013,34(6):45-48. [点击复制]
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| 摘要: |
| 目的观察改良的经闭孔无张力吊带尿道中段悬吊术（modified tension-flee vaginal tape-obturator,改良TVT—O术）治疗女性中重度单纯性压力性尿失禁（stress urinary incontinence, SUI）的长期疗效。方法收集同济大学附属同济医院妇产科2005年3月～2006年12月收治的58例女性中重度单纯性SUI患者行改良TVT—O手术的临床资料，回顾分析并进行术后1、3、6、12个月及每年定期随访，观察手术治疗的短期及长期治疗效果及并发症。结果58例女性中重度单纯性SUI进行改良TVT—O手术的患者中，1年随访时均治愈或好转、未出现无效或复发，2年随访时失访3例（5．17％）、复发3例，复发者均行再次手术，术后症状均逐步好转，3年随访时1例高龄患者死亡，其余病例3年及以后每年随访均未复发，治愈46例（79．31％），好转8例（13．79％），其中4例出现了急迫性尿失禁的表现，经药物治疗又有所好转。结论改良TVT-O术治疗女性中重度单纯性SUI，手术操作简便、用时短、出血少，经短期及长期随访治愈好转率高，疗效均可靠。 |
| 关键词: 经闭孔无张力吊带尿道中段悬吊术 女性 中重度压力性尿失禁 长期随访 |
| DOI：10. 3969/j. issn1008-0392. 2013. 06. 010 |
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| 基金项目:国家自然科学基金（30471815） |
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| Long-term efficacy of tension-free vaginal tape-obturator in treatment of female moderate or severe stress urinary incontinence |
| ZHAO Yong-feng,ZHANG Jin-fu,XIA Hong,LI Huai-fang,TONG Xiao-wen |
| (Dept. of Gynecology and Obstetrics,Tongji Hospital, Tongji University, Shanghai 200065, China;Dept. of Urology, Tongji Hospital, Tongji University, Shanghai 200065, China) |
| Abstract: |
| Objective To evaluate the long-term efficacy of modified tension-free vaginal tape- obturator （modified TVT-O） in treatment of moderate and severe female stress urinary incontinence （SUI）. Methods Fifty-eight patients with simple moderate and severe SUI were treated with modified TVT-O in Tongji Hospital from March 2005 to December 2006. Patients were followed-up at 1, 3, 6, 12 month postoperatively and annually after then, the surgical efficacy and complications were analyzed. Results During the first year of follow-up all patients were cured or improved and there were no recurrence or invalid treatment. In the second year 3 cases （5.17%） were lost in follow-up, and SUI was recurrent in 3 out of 55 patients, who received re-operation and symptoms were improved. In the third year of follow-up no more recurrence was observed except one case oleo. The overall cure and improve rate was 79. 31% （46/58） and 13. 79% （8/58）, respectively. Conclusion Both the short and long-term efficacy of the modified TVT-O is satisfactory in treatment of female moderate and severe SUI. |
| Key words: tension-free vaginal tape-obturator female moderate and severe stress urinary incontine-nce long-term follow-up |
