无张力阴道吊带术治疗女性压力性尿失禁(附20例报告)

目的 评价无张力阴道吊带术(tension-free vaginal tape，TVT)治疗女性压力性尿失禁的疗效。方法 总结采用TVT术治疗女性压力性尿失禁20例的临床资料。结果 平均手术时间26.5min。拔除尿管后，19例病人控尿满意，1例仍有轻微尿失禁。术后平均随访12(3-24)个月，20例病人均无尿失禁。合并症有1例膀胱穿孔，1例术后轻度排尿不畅，2例尿频尿急。结论 TVT术操作简便快捷，创伤小，合并症少，术后康复快，是一种治疗女性压力性尿失禁的理想方法。

The Tension-free Vaginal Tape Procedure in the Treatment of Female Urinary Stress Incontinence

Objective To assess the effect and safety of the tension-free vaginal tape (TVT) technique in the treatment of female urinary stress incontinence. Methods 20 cases with stress urinary incontinence were treated with TVT. Results The mean operation time was 26.5 minutes. In all cases, only 1 had a slightly urinary incontinence. All cases were followed up for 3 to 24 months ( mean 12 months), and obtained a satisfactory continence. The main complications included 1 bladder perforation without sequelae, 1 slight dysuria and 2 urinary urgency or frequent micturition. Conclusions TVT is a satisfactory technique for the surgical treatment of the female urinary stress incontinence. The advantages are facility, short operation time, minimally invasive procedure, low complication rate and prompt recovery.