本文關(guān)鍵詞： 壓力性尿失禁 TVT-O 治療 生活質(zhì)量　出處：《廣西醫(yī)科大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：探討經(jīng)閉孔尿道中段無張力懸吊術(shù)(TVT-O)治療女性壓力性尿失禁臨床療效及安全性。 方法：分析在2012年8月至2013年11月因壓力性尿失禁在廣西醫(yī)科大學(xué)第一附屬醫(yī)院西院婦產(chǎn)科住院行TVT-O的7例患者,記錄其一般資料、手術(shù)時間、術(shù)中出血量、術(shù)后留置尿管時間、術(shù)后住院天數(shù)及并發(fā)癥等情況。患者于手術(shù)前一周及術(shù)后3個月完成國際尿失禁咨詢委員會尿失禁問卷簡表(ICI-Q-SF)、尿失禁生活質(zhì)量量表(I-QOL)。其中I-QOL分為行為限制、心理影響、社會障礙三部分,其分值越高表示患者生活質(zhì)量越高。 結(jié)果：(1)7例患者均手術(shù)順利,術(shù)中未發(fā)生嚴重并發(fā)癥,平均手術(shù)時間(24.3±6.7) min (15-30min),平均出血量(16.4±8.5)ml(10～30ml),平均術(shù)后住院天數(shù)(5.3±0.8)d(5-7d),平均術(shù)后留置尿管時間(6.3±3.4)d(5～14d)；(2)1例(14.3%)患者術(shù)后早期發(fā)生排尿困難,經(jīng)藥物及物理對癥治療后恢復(fù)正常排尿,未見有閉孔血腫、切口愈合不良、膀胱過度活動癥(OAB)、陰道切口不適、吊帶暴露、大腿根部慢性疼痛、尿路感染等并發(fā)癥發(fā)生；(3)治愈者7例(100%),術(shù)后ICI-Q-SF評分較術(shù)前明顯下降,差異有統(tǒng)計學(xué)意義(P0.05),術(shù)后I-QOL評分較術(shù)前明顯升高,差異有統(tǒng)計學(xué)意義(P0.05)。 結(jié)論：(1) TVT-O治療女性壓力性尿失禁具有治愈率高、安全、手術(shù)時間短、微創(chuàng)等優(yōu)點；(2) TVT-O術(shù)后患者生活質(zhì)量有顯著改善,近期療效滿意,長期療效及并發(fā)癥仍有待進一步隨訪觀察。
[Abstract]:Objective: to evaluate the efficacy and safety of TVT-O in the treatment of female stress urinary incontinence. Methods: from August 2012 to November 2013, 7 patients who underwent TVT-O in gynecology and obstetrics department of the first affiliated Hospital of Guangxi Medical University due to stress urinary incontinence were analyzed. The general data, operation time and intraoperative bleeding volume were recorded. The time of indwelling urinary catheter, the days of hospitalization and complications after operation. The incontinence questionnaire of the International urinary incontinence Advisory Committee was completed in the first week before operation and 3 months after operation. The ICI-Q-SFN, the quality of life scale of urinary incontinence, and the quality of life scale of urinary incontinence, among which I-QOL was divided into behavioral limitation, were included in the summary of urinary incontinence questionnaire of International urinary Incontinence Advisory Committee. The higher the score, the higher the patient's quality of life. Results the operation was successful in all 7 patients. There were no serious complications in the operation. The average operation time was 24. 3 鹵6. 7 min. The average blood loss was 16. 4 鹵8. 5 min / 1030ml / L, the average postoperative hospitalization time was 5. 3 鹵0. 8 / d ~ 5 ~ 7 / d and the mean time of indwelling urinary catheter was 6. 3 鹵3. 4 / 514 / d and 14. 3% respectively) the patients had difficulty in urination early after operation. After medication and physical therapy, normal urination, no obturator hematoma, poor wound healing, bladder hyperactivity syndrome, vaginal incision discomfort, sling exposure, and chronic pain in the root of thigh were found. Complications such as urinary tract infection occurred in 7 cases. The ICI-Q-SF score after operation was significantly lower than that before operation (P 0.05), and the I-QOL score after operation was significantly higher than that before operation (P 0.05). Conclusion TVT-O has the advantages of high cure rate, safety, short operation time and minimally invasive treatment for female stress urinary incontinence. The quality of life of the patients after TVT-O is significantly improved and the short-term curative effect is satisfactory. The long-term curative effect and complication still need to be further followed up.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R713

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本文編號：1556144