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目的:探讨女性压力性尿失禁(SUI)的治疗方法和效果。方法:压力性尿失禁60例采用经阴道无张力尿道中段悬吊带术(TVT)治疗25例,药物和功能训练治疗35例。结果:手术治疗组25例手术时间平均35min,出血量平均15mL,随访患者3～23个月,23例(92%)治愈,2例明显改善,4例出现并发症,其中术中膀胱损伤3例,术后尿潴留1例。非手术治疗35例,4例治愈,23例有不同程度的改善,8例无效,总有效率为77.1%。结论:是治疗女性压力性尿失禁十分有效的微创方法,药物治疗和功能训练有一定的改善作用。
Objective: To investigate the treatment and effect of female stress urinary incontinence (SUI). Methods: Sixty cases of stress urinary incontinence were treated with transvaginal tension-free urethral suspension (TVT) and 35 with medication and functional training. Results: The operation time of the 25 cases in the operation group was 35 minutes on average, the average amount of bleeding was 15mL. The patients were followed up for 3 ~ 23 months. Twenty-three patients (92%) were cured, 2 patients were significantly improved and 4 patients had complications. Among them, Cases, postoperative urinary retention in 1 case. Non-surgical treatment of 35 cases, 4 cases were cured, 23 cases of varying degrees of improvement, 8 cases were ineffective, the total effective rate was 77.1%. Conclusion: It is a very effective minimally invasive method for the treatment of female stress urinary incontinence. It has a certain improvement in drug treatment and functional training.