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[1]周晨曦,丁 俊,李国波,等.经闭孔吊带手术治疗女性压力性尿失禁46例临床观察[J].医学研究与战创伤救治(原医学研究生学报),2015,17(02):163-165.[doi:10.3969/j.issn.1672-271X.2015.02.016]
　HOU Chen-xi,DING Jun,LI Guo-bo,et al.TOT for surgical treatment of female stress urinary incontinence in 46 cases[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(02):163-165.[doi:10.3969/j.issn.1672-271X.2015.02.016]
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经闭孔吊带手术治疗女性压力性尿失禁46例临床观察()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第17卷
期数:
2015年02期
页码:
163-165
栏目:
出版日期:
2015-04-22

文章信息/Info

Title:
TOT for surgical treatment of female stress urinary incontinence in 46 cases
作者:
周晨曦; 丁 俊; 李国波; 朱旭明; 陈国栋; 陈怡芳
214044 江苏无锡，解放军101医院泌尿外科
Author(s):
HOU Chen-xi; DING Jun; LI Guo-bo; ZHU Xu-ming; CHEN Guo-dong; CHEN Yi-fang.
Department of Urology，101 Hospital of PLA，Wuxi，Jiangsu 214044，China
关键词:
压力性尿失禁; 经闭孔吊带; 无张力尿道中段悬吊术
Keywords:
stress urinary incontinence;  transobturator tape;  tension-free mid-urethral suspension
分类号:
R695.1
DOI:
10.3969/j.issn.1672-271X.2015.02.016
文献标志码:
A
摘要:
目的 观察经闭孔吊带（transobturator tape，TOT）尿道中段悬吊术治疗女性压力性尿失禁（stress urinary incontinence，SUI）的近期疗效。 方法 女性SUI患者46例，采取TOT手术治疗，对比手术前后国际尿失禁咨询委员会尿失禁问卷（ICI-Q-SF）评分、1 h尿垫试验和最大尿流率变化，以判定疗效。结果 随访6～18个月，治愈33例（71.7%），有效11例（23.9%），无效2例（4.3%）。ICI-Q-SF评分、1 h尿垫试验显著优于术前，最大尿流率无变化。 结论 TOT手术是治疗女性SUI安全、有效的微创手术方法。
Abstract:
Objective To evaluate the recent efficacy of applying outside-in transobturator tape (TOT) tension-free mid-urethral suspension in the treatment of female stress urinary incontinence (SUI). Methods A total of 46 female inpatients with SUI were enrolled using Italy Herniamesh sling. Preoperative and postoperative data were recorded and compared， including International Consultation on Incontinence Questionnaire-Short Form (ICI-Q-SF)， 1-hour pad weight test and maximum urinary flow rates (Qmax). Results All patients have been followed up for 6 to 12 months. The cure， improvement and failure rates were 33 patients (71.7%)， 11 (23.9%) and 2 (4.3%)， respectively. The differences were significant when compared ICI-Q-SF and 1-hour pad weight test (P<0.05). Postoperative complications included 2 cases of vulva hematoma， 1 case of dyspareunia， 2 cases of groin pain and 1 case of de novo detrusor overactivity. No case recorded with bladder perforation， urine retention and mesh erosion. Conclusion Transobturator tape procedure is an effective minimally invasive method for the surgical treatment of female SUI with low rate of complication and good primary outcome.

参考文献/References:

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［8］Zugor V，Labanaris AP，Rezaei-Jafari MR，et al．TVT vs.TOT：a comparison in terms of continence results，complications and quality of life after a median follow-up of 48 months［J］．Int Urol Nephrol，2010，42（4）：915-920．
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相似文献/References:

[1]徐 锋,刘有黄,傅 点,等.尿流动力学检查在女性压力性尿失禁诊断和治疗中的价值[J].医学研究与战创伤救治(原医学研究生学报),2015,17(02):149.[doi:10.3969/j.issn.1672-271X.2015.02.011]
　XU Feng,LIU You-huang,FU Dian,et al.Clinical value of urodynamic analyses in the diagnosis and therapy of the female stress urinary incontinence[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2015,17(02):149.[doi:10.3969/j.issn.1672-271X.2015.02.011]
[2]万丽,孙金燕,顾银燕.盆底肌训练对产后压力性尿失禁的疗效观察及影响因素分析[J].医学研究与战创伤救治(原医学研究生学报),2021,23(02):194.[doi:10.3969/j.issn.1672-271X.2021.02.019]

备注/Memo

备注/Memo:
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更新日期/Last Update: 2015-03-20