| 摘要: |
| 目的:探讨 TVT-O手术和 A-JUST手术治疗女性压力性尿失禁( SUI)的临床疗效，为女性 SUI的临床手术方案选择提供参考依据。方法:选取 2014年 5月—2016年 12月在我院确诊为 SUI的女性患者 157例，随机分为两组: TVT-O组(80例)和 A-JUST组(77例)，对两组患者的一般资料、手术效果、术后生活质量和并发症进行统计分析。结果:两组患者手术时间和术中出血量比较，均无统计学差异(P>0.05)。与 TVT-O组相比，A-JUST组住院天数、留置尿管时间和大腿内侧牵扯痛发生率明显要少，差异均有统计学意义( P<0.05)。两组患者术后 I-QOL评分均逐渐提高，但同期得分相比无统计学差异( P>0.05)。两组患者手术后治愈率和改善率均无统计学差异( P>0.05)。两组患者远期并发症主要是排尿困难、漏尿和尿潴留，但发生率均无统计学差异( P>0.05)。结论: A-JUST术与 TVT-O术治疗女性 SUI均有良好的临床疗效。A-JUST术具有住院时间短、导尿时间和术后大腿内侧牵扯痛率低的优势，值得临床推广。 |
| 关键词: 压力性尿失禁 TVT-O术 A-JUST术 治愈率 临床疗效 |
| DOI：10.3969/j.issn.1007-6948.2020.02.024 |
| 投稿时间：2019-06-19 |
| 基金项目: |
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| Clinical Outcome of TVT-O and A-JUST Surgery in Treatment of SUI |
| FENG Qing-xing,LI Qian,CAO Quan-fu |
| Department of Urology, the Third Af?liated Hospital of Third Medical University, Chongqing 400042, China |
| Abstract: |
| Objective To investigate the clinical ef?cacy of TVT-O and A-JUST in the treatment of female stress urinary incontinence (SUI), and to provide reference for the choice of clinical surgical procedures for female SUI. Methods A total of 157 female patients diagnosed with SUI in our hospital from May 2014 to December 2016 were randomly divided into two groups: TVT-O group (80 cases) and A-JUST group (77 cases). Statistical analysis of general data, surgical outcomes, postoperative quality of life, and complications were performed for both groups of patients. Results There was no signi?cant difference in the operation time and intraoperative blood loss between the two groups (P>0.05). Compared with the TVT-O group, the hospital stays and indwelling catheter time were shorter, and the incidence of postoperative pain in the inner thighs in the A-JUST group was significantly lower (P<0.05). The postoperative I-QOL scores of both groups were gradually increased, but there was no statistically significant difference (P>0.05). There was no significant difference in the cure rate and improvement rate after surgery between the two groups (P>0.05). The long-term complications in the two groups were dysuria, leakage of urine, and urinary retention, but the incidence was not statistically different (P>0.05). Conclusion Both A-JUST and TVT-O have significant clinical effects on female SUI. A-JUST surgery has the advantages of shorter hospital stay, shorter indwelling catheter time, and less postoperative pain in the inner thighs, which is worthy of clinical promotion. |
| Key words: Stress urinary incontinence TVT-O A-JUST cure rate clinical outcome |
