经阴道尿道膀胱颈筋膜褥式缝合术和TVT-O手术治疗压力性尿失禁的疗效分析

摘要

目的评价经阴道尿道膀胱颈筋膜褥式缝合术和无张力网状阴道悬吊术—经闭孔系统(Tension Free VaginalTape Obturator Technique,TVT—O)治疗压力性尿失禁(stress urinary incontinence,SUI)的临床疗效.方法回顾性分析30例采用经阴道尿道膀胱颈筋膜褥式缝合术治疗SUI患者和42例采用TVT-O治疗SUI患者的临床资料.结果与经阴道尿道膀胱颈筋膜褥式缝合术相比,TVT—O治疗SUI住院时间短,疗效显著,手术治愈率高,复发率低,且具有统计学意义(P>0.05), TVT治疗SUI疗效可靠,手术创伤更小.%Objective : Evaluating the clinical effect of Transvaginal resection of bladder neck fascial mattress suture and TVT-O operation in the treatment of stress urinary incontinence . Methods : Retrospective analysis of the clinical data of 30 cases with SUI using the transvaginal resection of bladder neck fascial mattress suture patients and 42 patients treated by TVT-O. Results : The effect of patients with stress urinary incontinence treated by TVT-O is obvious, and postoperative complication rate is low. Conclusion : patients with stress urinary incontinence treated by TVT-O has the advantages of simple operation, smal operation wound, reliable curative effect.