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目的:总结无张力性尿道悬吊术(TVT术)并发症及处理方法。方法:采用TVT悬吊术治疗女性压力性尿失禁58例。患者年龄35~79岁。病史6个月~30年,平均(10.2±13.8)年。结果:术后随访1~32个月,52/58(89.7%)治愈,4/58(6.9%)改善,2例(3.4%)无效。手术并发症为10/58(17.2%),其中术中发生膀胱穿刺损伤3例(5.2%),术后发生排尿困难6例(10.3%)、耻骨后血肿1例(1.7%)。结论:TVT手术并发症并不多见,若能及时发现和正确处理,仍能取得较好疗效。
Objective: To summarize the complications and treatment of tension-free urethral suspension (TVT). Methods: Fifty-eight cases of female stress urinary incontinence were treated with TVT suspension. Patients aged 35 to 79 years old. History of 6 months to 30 years, with an average (10.2 ± 13.8) years. Results: Followed up for 1 to 32 months postoperatively, 52/58 (89.7%) cured, 4/58 (6.9%) improved and 2 (3.4%) ineffective. The complications of operation were 10/58 (17.2%). Bladder puncture injury occurred in 3 cases (5.2%), postoperative dysuria in 6 cases (10.3%) and retropubic hematoma in 1 case (1.7%). Conclusion: The complications of TVT are rare. If it can be found and correctly treated, it can still get better curative effect.