延迟可吸收吊带与永久非吸收吊带治疗女性压力性尿失禁的疗效比较

目的探讨延迟可吸收吊带和永久非吸收吊带治疗女性压力性尿失禁的临床疗效及适宜的抗尿失禁手术材料。方法对2010年2月至2011年8月因压力性尿失禁在北京大学人民医院妇科进行手术治疗的51例患者的临床资料进行回顾性分析，其中研究组23例，采用延迟可吸收吊带；对照组28例，采用永久非吸收吊带。比较两组患者的手术情况、术后留置尿管时间及术后残余尿量，并采用尿失禁影响程度相关问卷（IIQ-7）和泌尿生殖道疾病相关问卷（UDI-6）评价手术疗效。结果两组患者的年龄、绝经时间、产次、病程、术前1h尿垫试验比较，差异均无统计学意义（P〉O．05）；两组患者的手术时间、术中出血量、术后留置尿管时间和术后残余尿量比较，差异均无统计学意义（P〉O．05）；研究组术后平均随访时间为（10．5±5．7）个月，对照组术后平均随访时间为（11．8±7．6）个月，两组患者主观治愈率分别为73．9％（17／23）和71．4％（20／28），有效率分别为100．O％（23／23）和96．4％（27／28），两组比较，差异均无统计学意义（P〉O．05）。两组均无吊带侵蚀等并发症。结论无论是延迟可吸收吊带还是永久非吸收吊带，治疗压力性尿失禁有相同的近期疗效，短期内未见吊带侵蚀，可能与本文随访时间短，手术例数少有关，需长期随诊进一步观察。

A clinical study of the efficacy of delayed absorbable tape and non- absorbable tape in treating patients with stress urinary incontinence

Objective To determine and compare the efficacy of delayed absorbable tape and non- absorbable tape for patients with stress urinary incontinence （SUI）, thus to find out a more suitable material for anti - SUI surgery. Methods 51 patients who received anti - SUI surgeries in Peking University People＇s Hospital from February 2010 to August 2011 were retrospectively reviewed. 23 patients who underwent delayed absorbable tension- free sling （TOT） were defined as study group while the other 28 patients who received TVT- O which was made of non- absorbable polypropylene were as control group. The general characteristics, preoperative parameters, duration of indwelling urinary catheter and the residual urine volume of these two groups was compared, as well as IIQ - 7 and UDI- 6 questionares. Results There was no significant differences in patients＇ age, menopause statement, gravidity, duration of SUI and 1 hour pad test of these two groups （P〉0.05）. Neither were the operation time, bleeding volume, the duration of indwelling urinary catheter, the residual urine volume or the mean follow- up duration （P〉0.05）. With a follow- up interval of 10. 5±5.7 months and 11.8±7. 6 months, the objective cure rate of the study group and the control group was 73.9% and 71.4%, while the cure rate was 100%and 96.4%. Conclusion Delayed absorbable tape and non- absorbable tape have comparable efficacy in treating SUI. There is no erosion occurred in a short time follow- up. More cases and longer follow- up may be needed.