《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (07): 432-433.

• 临床研究 • 上一篇    下一篇

无张力性阴道吊带术治疗张力性尿失禁效果观察

翟建军; 张毅   

  1. 北京医院妇产科 北京市 100730
  • 收稿日期:2004-04-05 出版日期:2004-07-25 发布日期:2004-07-25

Effect of tension-free vaginal tape procedure on stress urinary incontinence

ZHAI Jian-jun , ZHANG Yi   

  1. Department of Obstetric and Gynecology, Beijing Hospital, Beijing 100730, China
  • Received:2004-04-05 Published:2004-07-25 Online:2004-07-25

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摘要： 目的比较无张力性阴道吊带术与阴道前壁修补术治疗张力性尿失禁合并阴道前壁膨出的效果。方法43例张力性尿失禁合并阴道前壁膨出患者根据术式分为观察组和对照组。观察组行无张力性阴道吊带术,对照组行阴道前壁修补术。比较手术前后的最大尿流量、充盈期/排尿期膀胱压、压力-流率、尿道闭合压、最大膀胱容量、腹部漏尿点压力等。结果术后观察组的最大尿流量、逼尿肌压力、腹部漏尿点压力与术前相比有显著性差异(P<0.05),其他参数无显著变化(P>0.05)。而对照组在所有指标方面均无显著性差异。结论无张力性阴道吊带术可增加尿道阻力,比阴道前壁修补术创伤小,恢复快,效果好。

关键词: 压力性尿失禁, 无张力性阴道吊带术, 阴道前壁修补术, 尿动力学

Abstract: Objective To compare the effect of tension-free vaginal tape (TVT) and vaginal reconstructive surgery (VR) on women with severe genital prolapse and stress urinary incontinence.Methods 43 patients with stage I or II vaginal anterior defect and stress urinary incontinence were assigned to TVT group(21 patients) and VR group (22 patients) . Results Maximum quantity of urine, pressure of detrusor at maximum quantity of urine, and abdominal leakage point pressure occured significantly in TVT group after operation(P<0.05). Postoperative satisfaction rate were higher in TVT group(P<0.05). Conclusion TVT is more effective to improve the quality of life in women with stress incontinence.

Key words: stress urinary incontinence, tension-free vaginal tape procedure, vaginal reconstructive surgery, urodynamic continence