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目的观察探讨悬带成形术(IVS)治疗压力性尿失禁的临床效果。方法选取我院36例压力性尿失禁的患者,按照其术式分为A组(经阴道膀胱颈悬吊术)17例、B组(悬带成形术)19例,观察比较两组治疗效果。结果两组近期疗效比较无显著性差异(P>0.05),无统计学意义。A组随访2年手术成功率为70.6%,随访5年,手术成功率为52.9%;B组随访2年,手术成功率为84.2%,随访5年,手术成功率为73.7%,两组远期疗效及并发症发生率比较存在一定差异(P<0.05),具有统计学意义。结论经阴道膀胱颈悬吊术和悬带成形术治疗压力性尿失禁的近期疗效类似,而悬带成形术的远期疗效更为理想,且并发症少,安全可靠。
Objective To investigate the clinical effect of sling strip (IVS) in the treatment of stress urinary incontinence. Methods Thirty-six patients with stress urinary incontinence in our hospital were divided into group A (transvaginal bladder neck suspension) 17 cases and group B (sling plaster) 19 cases according to their surgical procedures. The therapeutic effects were compared between the two groups . Results There was no significant difference between the two groups in the short term efficacy (P> 0.05). There was no statistical significance. The follow-up success rate was 70.6% in 2-year follow-up in group A and 52.9% in follow-up for 5 years. In group B, the success rate was 84.2% in 2 years and 73.7% in follow-up. The success rate was 73.7% There was a significant difference in the efficacy and complication rates between the two groups (P <0.05), with statistical significance. Conclusions Transvaginal bladder neck suspension and sling are similar in the treatment of stress urinary incontinence. However, the long-term curative effect of SST is more satisfactory with fewer complications and safety.