北京大学学报（医学版）2026，Vol.58Issue(2)：337-341,5.DOI:10.19723/j.issn.1671-167X.2026.02.018
经闭孔尿道中段无张力悬吊改良术治疗女性压力性尿失禁的疗效
Effect of TVT-Abbrevo in the treatment of female stress urinary incontinence
摘要
Abstract
Objective:To evaluate the efficacy of tension-free vaginal tape-Abbrevo(TVT-Abbrevo,TVT-A)in the treatment of female stress urinary incontinence(SUI).Methods:A retrospective analysis was conducted on patients who underwent TVT-A surgery for SUI in the Department of Obstetrics and Gy-necology of Peking University First Hospital from April 2014 to December 2021.Perioperative data were collected,and various questionnaire scores were obtained from the patients before and after the operation,including the International Consultation on Incontinence questionnaire-short form(ICI-Q-SF),the pelvic organ prolapse/urinary incontinence sexual questionnaire-12(PISQ-12),and the incontinence quality of life questionnaire(I-QOL).A 1-hour pad test was also performed.The efficacy of TVT-A and its impact on the patients' postoperative quality of life and sexual life were analyzed.Results:In this comprehen-sive study,a total of 130 patients with SUI underwent TVT-A,among whom 111 patients completed the follow-up.The median age of the patients was 60(51,66)years,and the median follow-up time was 58.5(15-105)months.Among the 111 patients,for the 10 patients who solely received TVT-A,the operative duration was(32.25±8.75)min,and the blood loss volume was(12.75±8.48)mL.No intraoperative complications occurred in the 111 patients.Among the postoperative complications,groin pain(8 cases,7.2％)was the most common,followed by new-onset urinary frequency and urgency(11 cases,9.9％)and urinary tract infection(4 cases,3.6％).There were no cases of dysuria,sling ero-sion,or persistent groin pain.Subjectively,106 cases(95.5％)were cured and 5 cases(4.5％)were relieved;Objectively,109 cases(98.2％)were cured and 2 cases(1.8％)were relieved.The ICI-Q-SF scores before and after the operation were 16.00(11.00,19.00)and 0.00(0.00,5.00),respec-tively;the PISQ-12 scores were(11.49±3.86)and(13.91±3.96),respectively;and the total I-QOL scores(involving behavioral limitations,psychological impact,and social impairment)were(84.19±15.36)and(106.36±8.93),respectively.All scores improved significantly after the opera-tion compared with those before the operation(P＜0.05).Conclusion:TVT-A has fewer intraoperative and postoperative complications,and it has a good therapeutic effect on female SUI.Compared with TVT-obturator,the incidence of groin pain after surgery is lower,which can significantly improve the quality of life and sexual life of the patients.关键词
压力性尿失禁/女性/经闭孔尿道中段无张力悬吊改良术/生活质量Key words
Stress urinary incontinence/Female/Tension-free vaginal tape-Abbrevo/Quality of life分类
医药卫生引用本文复制引用
郭睿霖,张蕾,王宇,王晓庆,王潇潇,年凇汶,张丽慧,肖冰冰,陆叶..经闭孔尿道中段无张力悬吊改良术治疗女性压力性尿失禁的疗效[J].北京大学学报（医学版）,2026,58(2):337-341,5.基金项目
中央高水平医院临床科研业务费资助(北京大学第一医院青年临床研究专项)(2023YC20)Supported by Central High-Level Hos-pitals Clinical Research Funding(Peking University First Hospital Young Clinical Research Special Program)(2023YC20) （北京大学第一医院青年临床研究专项）
