经闭孔阴道无张力尿道中段悬吊术在女性压力性尿失禁治疗中的应用效果分析(1)
【摘要】目的：分析经闭孔阴道无张力尿道中段悬吊术在女性压力性尿失禁治疗中的应用效果。方法：选取2012年1月至2014年1月期间我院接收治疗的108例女性压力性尿失禁患者，根据患者的病情严重程度将108例患者分为观察组和对照组，各54例。给予对照组患者传统的阴式子宫切除+阴道壁修补术，给予观察组患者prilift前路+TVT术治疗。对比两组患者的手术时间、出血量、住院时间、生活质量和临床疗效。结果：观察组患者的手术时间、出血量和住院时间分别为(254±31)min、(167±28)mL、(45±24)d，对照组患者的手术时间、出血量和住院时间分别为(280±43)min、(213±29)mL、(67±25)d。观察组患者的手术时间、出血量和住院时间均优于对照组患者，比较两组间差异具有统计学意义(P<005)。治疗后观察组患者的生活质量各项评分均优于对照组患者，比较两组间差异具有统计学意义(P<005)。观察组患者的临床有效率为9626%，对照组患者的临床有效率为8147%，观察组患者的临床有效率显著高于对照组患者，比较两组间差异具有统计学意义(P<005)。结论：给予女性压力性尿失禁患者prilift前路+TVT术治疗具有较好的临床疗效，能够减少患者的手术时间、出血量和住院时间，提高患者治疗后的生活质量，可以在临床上推广和使用。
【关键词】经闭孔引导无张力尿道中段悬吊术；女性压力性尿失禁；阴式子宫切除+阴道壁修补术
Application of transobturaor tension-free vaginal tape in the treatment of female patients with stress urinary incontinenceLI Li1， WEI Zhongqing2. 1.Department of Obstetrics and Gynecology， Siyang County Kangda Hospital， Suqian 223700， China； 2.UrologyDepartment， The Second Affiliated Hospital of Nanjing Medical University， Nanjing 210000， China
【Abstract】Objectives： To analyze the effect of transobturaor tension-free vaginal tape in the treatment of female stress urinary incontinence. Methods： 108 female patients with stress urinary incontinence in our hospital from January 2012 to January 2014 were selected and according to the severity divided into observation group and control group， each of 54 cases. Patients in the control group were given the traditional vaginal hysterectomy + vaginal wall repair， and patients in observation group were given prilift +TVT for treatment. The operation time， blood loss， hospital stay， clinical efficacy and quality of life of patients in the two groups were compared. Results： The operation time， blood loss and hospital stay were (25.4±3.1) min， (16.7±2.8) mL， (4.5±2.4) d in the observation group， and (28.0±4.3) min， (21.3±2.9) mL， (6.7±2.5) d respectively in the control group. The operative time， blood loss and hospital stay in the observation group were better than the control group， with statistically significant difference (P<005). The various scores on quality of life after treatment in the observation group were higher than those of patients in the control group， with statistically significant difference (P<005). The clinical response rate of the observation group and the control group was 96.26% and 81.47% respectively， with statistically significant difference (P<005). Conclusion： Airlift + TVT is of better efficiency in treating female patients with stress urinary incontinence， which can reduce the operative time， blood loss and hospital stay as well as improve the quality of life of patients， thusly worthy of clinical popularization., 百拇医药(李莉 卫中庆)
【关键词】经闭孔引导无张力尿道中段悬吊术；女性压力性尿失禁；阴式子宫切除+阴道壁修补术
Application of transobturaor tension-free vaginal tape in the treatment of female patients with stress urinary incontinenceLI Li1， WEI Zhongqing2. 1.Department of Obstetrics and Gynecology， Siyang County Kangda Hospital， Suqian 223700， China； 2.UrologyDepartment， The Second Affiliated Hospital of Nanjing Medical University， Nanjing 210000， China
【Abstract】Objectives： To analyze the effect of transobturaor tension-free vaginal tape in the treatment of female stress urinary incontinence. Methods： 108 female patients with stress urinary incontinence in our hospital from January 2012 to January 2014 were selected and according to the severity divided into observation group and control group， each of 54 cases. Patients in the control group were given the traditional vaginal hysterectomy + vaginal wall repair， and patients in observation group were given prilift +TVT for treatment. The operation time， blood loss， hospital stay， clinical efficacy and quality of life of patients in the two groups were compared. Results： The operation time， blood loss and hospital stay were (25.4±3.1) min， (16.7±2.8) mL， (4.5±2.4) d in the observation group， and (28.0±4.3) min， (21.3±2.9) mL， (6.7±2.5) d respectively in the control group. The operative time， blood loss and hospital stay in the observation group were better than the control group， with statistically significant difference (P<005). The various scores on quality of life after treatment in the observation group were higher than those of patients in the control group， with statistically significant difference (P<005). The clinical response rate of the observation group and the control group was 96.26% and 81.47% respectively， with statistically significant difference (P<005). Conclusion： Airlift + TVT is of better efficiency in treating female patients with stress urinary incontinence， which can reduce the operative time， blood loss and hospital stay as well as improve the quality of life of patients， thusly worthy of clinical popularization., 百拇医药(李莉 卫中庆)