广西医科大学学报2018，Vol.35Issue(1)：37-40,4.DOI:10.16190/j.cnki.45-1211/r.2018.01.010
TVT-O技术在盆腔器官脱垂患者行盆底功能修复中对下尿路症状、POP-Q分度的改善作用分析
Effect of TVT-O technique on lower urinary tract symptoms and POP-Q grading in POP patients underwent pelvic floor repair surgery
摘要
Abstract
Objective:To investigate the effects of inside-out transobturator tape suspension (TVT-O) technique on pelvic organ prolapse (POP) complicated with lower urinary tract symptoms during pelvic floor repair surgery.Methods:From January 2012 to March 2015,112 patients underwent pelvic floor repair surgery in our hospital were selected and divided into non-TVT-O group (40 cases) and TVT-O group (72 cases).Postoperative urinary tract symptoms were observed and compared.Results: Patients in TVT-O group had shorter operation time,higher postoperative residual urine volume,and lower blood loss volume,compared with non-TVT-O group (P＜0.05).There were no significant differences in the average temperature at 24 h post-operation,and hospital days between the two groups (P＞ 0.05).Before surgery,the incidence of lower urinary tract symptoms including urinary endless,dysuria,etc.and POP-Q grading were similar in the two groups (P＞ 0.05).After 6 months of surgery,the incidence of lower urinary tract symptoms including urinary endless,dysuria,frequent urination,etc.in TVT-O group was significantly lower than that in non-TVT-O group (P＞ 0.05).The distance of C point and D point in TVT-O group was significantly higher than that in non TVT-O group (P＜0.05).Conclusion:TVT-O technique application in pelvic floor repair surgery could improve lower urinary tract symptoms in POP patients.关键词
盆腔器官脱垂/下尿路/盆底修复/经闭孔尿道中段无张力悬吊带术Key words
pelvic organ prolapse/lower urinary tract/pelvic floor repair/TVT-O分类
医药卫生引用本文复制引用
陈燕,居文惠..TVT-O技术在盆腔器官脱垂患者行盆底功能修复中对下尿路症状、POP-Q分度的改善作用分析[J].广西医科大学学报,2018,35(1):37-40,4.基金项目
湖北省自然科学基金资助项目(No.2014FFB04510) （No.2014FFB04510）
