本文關(guān)鍵詞：單切口可調(diào)節(jié)Ajust吊帶治療女性壓力性尿失禁術(shù)后性功能和生活質(zhì)量的短期療效評(píng)價(jià)　出處：《中國(guó)微創(chuàng)外科雜志》2016年04期 　論文類型：期刊論文

  更多相關(guān)文章： 壓力性尿失禁 單切口可調(diào)節(jié)吊帶 性功能 生活質(zhì)量

【摘要】：目的探討單切口可調(diào)節(jié)Ajust吊帶治療女性壓力性尿失禁(stress urinary incontinence,SUI)術(shù)后性功能和生活質(zhì)量。方法 2013年1月~2014年6月36例SUI行單切口可調(diào)節(jié)Ajust尿道中段無(wú)張力懸吊術(shù),術(shù)前、術(shù)后6個(gè)月采用咳嗽壓力實(shí)驗(yàn)、1h尿墊試驗(yàn)、尿失禁生活質(zhì)量問(wèn)卷(incontinence quality of life,I-QOL)、患者改善整體印象的問(wèn)卷(patient global impression of improvement,PGI-I)進(jìn)行手術(shù)效果和生活質(zhì)量評(píng)價(jià),通過(guò)女性性功能指數(shù)(female sexual function index,FSFI)對(duì)患者進(jìn)行術(shù)前和術(shù)后性功能評(píng)價(jià)。結(jié)果 36例手術(shù)均獲得成功,均完成6個(gè)月隨訪,客觀和主觀治愈率97.2%(35/36),I-QOL評(píng)分顯著提高[術(shù)前(56.21±7.24)分,術(shù)后6個(gè)月(89.35±5.37)分,t=-26.143,P=0.000]。FSFI總分術(shù)后比術(shù)前明顯改善[術(shù)前(23.76±5.21)分,術(shù)后(27.37±5.14)分,t=-3.624,P=0.000]。FSFI的6項(xiàng)指標(biāo)中,有4項(xiàng)分?jǐn)?shù)明顯提高,包括性欲[術(shù)前(3.21±0.63)分,術(shù)后6個(gè)月(3.97±0.92)分,t=-3.078,P=0.004]、性喚起[術(shù)前(3.75±1.08)分,術(shù)后6個(gè)月(4.41±0.92)分,t=-2.683,P=0.012]、性高潮[術(shù)前(3.93±1.23)分,術(shù)后6個(gè)月(4.56±0.85)分,t=-2.952,P=0.008]、性滿意度[術(shù)前(4.37±1.09)分,術(shù)后6個(gè)月(5.32±0.79)分,t=-2.417,P=0.022]。非性功能障礙的SUI患者比例由術(shù)前41.7%(15/36)增加至術(shù)后66.7%(24/36),但無(wú)統(tǒng)計(jì)學(xué)差異(Mc Nemar檢驗(yàn),P=0.766)。結(jié)論單切口可調(diào)節(jié)Ajust尿道中段無(wú)張力懸吊術(shù)能夠改善Ⅰ、Ⅱ級(jí)SUI患者的癥狀和性功能,近期療效良好,對(duì)于Ⅲ級(jí)SUI患者療效尚不確定。
[Abstract]:Objective to investigate the sexual function and quality of life in the treatment of female stress urinary incontinence (stress urinary incontinence (SUI)) with single - incision adjustable Ajust sling. January 2013 ~2014 year in June 36 cases of SUI underwent single incision Ajust adjustable tension - free mid urethral suspension surgery, preoperative and postoperative 6 months with cough incontinence quality of life pressure test, 1H and urine pad test questionnaire (incontinence quality of life, I-QOL), with improved overall impression questionnaire (patient global impression of improvement, PGI-I) of the surgical effect and evaluation of the quality of life, the female sexual function index (female sexual function index, FSFI) to evaluate the sexual function of patients with preoperative and postoperative. Results all 36 operations were successful, all completed 6 months follow-up. The objective and subjective cure rate was 97.2% (35/36), and the I-QOL score improved significantly [before operation (56.21 + 7.24), 6 months after operation (89.35 + 5.37), t=-26.143, P=0.000]. The total score of FSFI was significantly better than preoperative (23.76 + 5.21), after operation (27.37 + 5.14), t=-3.624, P=0.000]. The 6 indexes of FSFI, there are 4 scores improved significantly, including sexual desire [preoperative (3.21 + 0.63), 6 months after operation (3.97 + 0.92), t=-3.078, P=0.004], preoperative sexual arousal [(3.75 + 1.08), 6 months after operation (4.41 + 0.92), t=-2.683, P=0.012], orgasm [preoperative (3.93 + 1.23), 6 months after operation (4.56 + 0.85), t=-2.952, P=0.008], the degree of satisfaction of preoperative [(4.37 + 1.09), 6 months after operation (5.32 + 0.79), t=-2.417, P=0.022]. The proportion of SUI patients with non sexual dysfunction increased from 41.7% (15/36) before operation to 66.7% (24/36) after operation, but there was no statistical difference (Mc Nemar test, P=0.766). Conclusion single incision adjustable Ajust urethral midline tension free suspension can improve symptoms and sexual functions of patients with grade I and SUI. The short-term effect is good, and the efficacy for patients with grade III SUI is uncertain.
【作者單位】： 鄭州大學(xué)第二附屬醫(yī)院婦產(chǎn)科;
【分類號(hào)】：R699.7
【正文快照】： 在全世界范圍內(nèi),約有25%的女性受到尿失禁的困擾,嚴(yán)重影響女性的生活質(zhì)量和性功能[1]。對(duì)組織侵入性很小的尿道中段懸吊帶改變了壓力性尿失禁(stress urinary incontinence,SUI)的外科手術(shù)治療模式。單切口懸吊帶(single-incision slings,SIS)作為尿道中段吊帶的第3代產(chǎn)品代表

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