本文選題：性功能障礙 + 生理性��； 參考：《重慶醫(yī)學(xué)》2017年24期

【摘要】：目的比較經(jīng)閉孔的第二代吊帶(TVT-O)和第三代尿道中段吊帶(TVT-S)兩種術(shù)式術(shù)后患者的生活質(zhì)量及性功能改變。方法 53例未合并盆腔器官脫垂的壓力性尿失禁患者(尿道高活動性)隨機(jī)分組在廣州醫(yī)科大學(xué)附屬第二醫(yī)院完成了TVT-O和TVT-S(H型)手術(shù)。所有患者在術(shù)前及術(shù)后填寫中文版尿失禁生活影響問卷簡版(ⅡQ-7)和中文版盆腔器官脫垂與尿失禁性功能問卷簡版(PISQ-12)。結(jié)果術(shù)后12個和24個月的回訪結(jié)果顯示,兩種術(shù)式的治愈率差異無統(tǒng)計學(xué)意義。TVTO治療組出現(xiàn)2例血腫。TVT-S治療組手術(shù)時間短于TVT-O組(P0.05)。TVT-O組術(shù)后大腿或腹股溝疼痛發(fā)生率高于TVT-S組(P0.05)。兩組患者術(shù)后ⅡQ-7評分均明顯改善(P0.01)。在TVT-S組中,PISQ-12評分術(shù)前平均為(30.4±5.5)分,術(shù)后12個月(33.7±3.5)分,術(shù)后明顯改善(P=0.027)。而在TVT-O組中,PISQ-12評分術(shù)前與術(shù)后差異無統(tǒng)計學(xué)意義。結(jié)論TVT-O組中,患者術(shù)后腹股溝疼痛發(fā)生率高于TVT-S組;TVT-S術(shù)后可改善患者的生活質(zhì)量和性功能。
[Abstract]:Objective to compare the quality of life (QOL) and sexual function between the second generation sling (TVT-O) and the third generation (TVT-S). Methods 53 patients with stress urinary incontinence (urethral hyperactivity) without pelvic organ prolapse were randomly assigned to perform TVT-O and TVT-S(H operations in the second affiliated Hospital of Guangzhou Medical University. All the patients completed the Chinese version of urinary incontinence life impact questionnaire (II Q-7) and the Chinese version of the simple version of pelvic organ prolapse and urinary incontinence functional questionnaire PISQ-12 before and after operation. Results the results of 12 and 24 months follow-up showed that there was no significant difference in the cure rate between the two groups. The operative time of two cases of hematoma in TVT-S group was shorter than that in TVT-O group (P 0.05). The incidence of postoperative thigh or groin pain in TVTO group was higher than that in TVT-S group (P 0.05). The score of 鈪，

本文編號：1940994