中国实用妇科与产科杂志2024，Vol.40Issue(11)：1130-1134,5.DOI:10.19538/j.fk2024110116
自体阴道前壁黏膜瓣尿道悬吊术治疗女性压力性尿失禁的临床疗效研究
Clinical efficacy study of autologous anterior vaginal wall mucosal flap urethral suspension for the treatment of female stress urinary incontinence
摘要
Abstract
Objective To explore the clinical efficacy of autologous anterior vaginal wall mucosal flap urethral suspen-sion(AVMFUS)and tension-free vaginal tape-obturator(TVT-O)for the treatment of female stress urinary inconti-nence.Methods From January 2021 to September 2023 at Foshan Maternal and Child Health Care Hospital,the includ-ed patients were divided into AVMFUS group(34 cases)and TVT-O group(35 cases)according to the patients'choice of surgical procedures,and the surgical efficacy of the two groups was retrospectively analyzed.Results(1)The differ-ences in the operation time,catheter retention time and qualified rate of residual urine after operation between the two groups were not statistically significant(P＞0.05).(2)The AVMFUS group had a longer hospital stay[(8.53±3.88)d vs.(5.14±1.75)d]and higher total blood loss during surgery[50.00(30.00,70.00)mL vs.20.00(5.00,30.00)mL]than the TVT-O group,while the medical expenses were lower in the AVMFUS group than in the TVT-O group[(16711.20±6477.33)CNY vs.(22 436.87±3000.56)CNY,P＜0.05],there being statistically significant differences.(3)The differ-ences in ICIQ-SF scores and objective cure rates were not statistically significant between the two groups during the pre-operative period and the four time periods of follow-up;both groups showed a significant decrease in ICIQ-SF after sur-gery compared with the preoperative period(P＜0.05),and there were statistically significant differences.Conclusions AVMFUS and TVT-O are both effective procedures for SUI and can significantly improve the symptoms of urinary incon-tinence.AVMFUS has more economical advantages and reduces the risk of postoperative mesh invasion and exposure,and is worthy of clinical promotion.关键词
自体阴道前壁黏膜瓣尿道悬吊术/经闭孔无张力尿道中段悬吊术/压力性尿失禁Key words
autologous anterior vaginal wall mucosal flap urethral suspension/tension-free vaginal tape-obturator/stress urinary incontinence分类
医药卫生引用本文复制引用
陈永连,周灿坤,黄晓斌,郑玉华,虢鑫,张正琳,谢佳彬,柳晓春..自体阴道前壁黏膜瓣尿道悬吊术治疗女性压力性尿失禁的临床疗效研究[J].中国实用妇科与产科杂志,2024,40(11):1130-1134,5.基金项目
2022年佛山市自筹经费类科技计划项目(2220001004096) （2220001004096）
