目的　探讨经阴道无张力尿道中段悬吊术 (TVT法 )治疗压力性尿失禁临床疗效。方法　采用标准的TVT法对 14例女性单纯压力性尿失禁 (Ⅱ°10例 ,Ⅲ°4例 )进行治疗。包括 :复发性尿失禁 2例 ,直肠癌根治术后 1例 ,髋关节强直 1例 ,合并子宫肌瘤卵巢囊肿同期手术治疗 2例。结果　治愈 13例 ( 92 .8% ) ,改善 1例 ( 7.2 % ) ,术前术后最大尿流率无明显改变 ,无并发症。结论　TVT法手术简单 ,安全 ,疗效确切 ,复发率低。 Objective To investigate the clinical efficacy of transvaginal tension-free mid-urethral suspension (TVT) in the treatment of stress urinary incontinence. Methods A total of 14 female patients with stress incontinence (Ⅱ ° 10 cases, Ⅲ ° 4 cases) were treated by standard TVT method. Including: 2 cases of recurrent urinary incontinence, 1 case of rectal cancer after radical surgery, 1 case of hip stiffness, ovarian cyst with uterine fibroids surgery in the same period in 2 cases. Results 13 cases (92.8%) were cured and 1 case (7.2%) was improved. There was no significant change in maximal urinary flow rate before operation and no complications. Conclusion TVT method is simple, safe, effective and low recurrence rate.