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Treatment of female stress urinary incontinence with tension-free vaginal tape procedure:a report of 34 cases
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OBSTETRICS AND GYNECOLOGY
- Issue:
- 7
- DOI:
- 10.3760/j.issn:0529-567X.2003.07.004
- Key Word:
- 尿失禁,压力性;尿道;泌尿外科手术
Abstract： 目的评估阴道无张力尿道中段悬吊(TVT)术治疗女性压力性尿失禁术后近2年的疗效.方法对34例经尿动力学检查证实为压力性尿失禁同时伴有不同程度的阴道前壁膨出患者,行TVT术及阴道前壁修补术治疗,并对术后2年内的效果进行随访.结果 33例患者TVT手术均在局部麻醉加静脉麻醉下完成;平均手术时间26.9 min;术中出血量平均29.8 ml;30例(88%)患者在术后12 h内自行排尿,残余尿<100 ml;另4例(12%)患者术后需短暂保留尿管.平均住院2.9 d,30例(88%)患者住院2 d以内;术后以患者主观感觉评价,平均随访8.3个月,32例(94%)主观完全治愈,2例(6%)为明显改善,无一例无效;手术并发症少.结论 TVT术是治疗女性压力性尿失禁微创、有效和安全的手术方法之一.
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