Solyx单切口悬吊术与TVT-O治疗女性压力性尿失禁的临床疗效评价
Clinical Outcome of Solyx and TVT-O Surgery of Stress urinary incontience
王倩 1王璐 1徐臻 1王武亮 1郭依琳 1韩喜婷 1李喆1
作者信息
- 1. 郑州大学第二附属医院妇科 郑州 450014
- 折叠
摘要
目的 比较Solyx单切口尿道中段无张力悬吊术和经闭孔尿道中段无张力悬吊术(TVT-O)治疗女性压力性尿失禁(SUI)的效果及安全性.方法 回顾性分析2020-01-2021-06 郑州大学第二附属医院收治的 102 例女性SUI患者,根据手术方式分为Sloyx组(58 例)、TVT-O组(44 例).比较2 组患者的基线资料、临床疗效、术后生活质量评分及并发症发生率.结果 2 组手术时间、术中出血量和术后排尿困难发病率的差异无统计学意义(P＞0.05).48 h拔除尿管后,Solyx组患者的残余尿量少于TVT-O组,术后大腿内侧疼痛的发生率低于TVT-O组,但差异无统计学意义(P＞0.05).术后 1、6、12 个月时,2 组患者的客观治愈率和主观治愈率均＞90%,差异无统计学意义(P＞0.05).结论 Solyx单切口悬吊术与TVT-O治疗女性压力性尿失禁,均有良好的安全性和效果.
Abstract
Objective To compare the efficacy and safety of Solyx single incision midurethral tension-free suspension and transobtu-rator midurethral tension-free suspension(TVT-O)in the treatment of SUI in women.Methods A retrospective analysis was performed for 102 female patients with SUI admitted to the Second Affiliated Hospital of Zhengzhou University from 2020-01 to 2021-06.According to the surgical method they were divided into Sloyx group(58 cases)and TVT-O group(44 cases).Statistical analysis of general data,surgical out-comes,postoperative quality of life and complications were performed for both groups of the patients.Results There were no significant differ-ences in operation time,intraoperative blood loss and incidence of postoperative dysuria between the two groups(P＞0.05).After 48 h of ure-thral catheter removal the residual urine volume of patients in the Solyx group was less than that in the TVT-O group,the incidence of postoper-ative inner thigh pain was lower than that in the TVT-O group.There were no significant differences between the two groups(P＜0.05).At 1,6 and 12 months after surgery,the objective and subjective cureative rates of the two groups were＞90%,there was no significant difference(P＞0.05).Conclusion Solyx single incision suspension and TVT-O have good safety and efficacy in the treatment of stress urinary inconti-nence in women.
关键词
压力性尿失禁/Solyx悬吊术/TVT-O术/临床疗效Key words
Stress urinary incontinence/Solyx/TVT-O/Clinical outcome引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20220478)
出版年
2024
NETL
NSTL
万方数据