关键词: Abbrevo Obturator Stress urinary incontinence Tension-free vaginal tape

Mesh : Humans Urinary Incontinence, Stress / surgery Suburethral Slings Female Retrospective Studies Middle Aged Treatment Outcome Follow-Up Studies Aged Adult Postoperative Complications / epidemiology etiology Urologic Surgical Procedures / methods instrumentation

来  源:   DOI:10.1186/s12893-024-02446-8   PDF(Pubmed)

Abstract:
BACKGROUND: Surgical interventions are more effective than nonsurgical approaches in providing a cure for stress urinary incontinence (SUI). In this study, we aimed to assess the benefits of tension-free vaginal tape (TVT) abbrevo by comparing its efficacy and complications to those of TVT obturator.
RESULTS: 49 and 47 patients at The Second Affiliated Hospital and Yuying Children\'s Hospital of Wenzhou Medical University between January 2013 and December 2016 were included in the TVT-O and TVT-A groups, respectively. We evaluate the success rate and perioperative complications associated with TVT-O and TVT-A. A questionnaire that utilized the Patient Global Impression of Improvement (PGI-I) Scale was employed to assess the impact of surgery. Patients were followed up at 1 year, and 5 years after surgery. There were no statistically significant differences found in the efficacy of the TVT-A group and TVT-O group during both the one-year (p = 0.4) and five-year (p = 0.32) follow-up periods. In the period of one-year follow-up, 95.9% (n = 47) of patients in the TVT-O group and 95.8% (n = 45) of patients in the TVT-A group demonstrated improvement. During the period of five-year follow-up, 87.8% (n = 43) of patients in the TVT-O group and 93.6% (n = 44) of patients in the TVT-A group demonstrated improvement.
CONCLUSIONS: Based on our findings, TVT-A and TVT-O procedures exhibited similarly high success rates and low frequencies of complications.
摘要:
背景:在治疗压力性尿失禁(SUI)方面,手术干预比非手术方法更有效。在这项研究中,我们旨在通过比较无张力阴道吊带(TVT)与闭孔器的疗效和并发症来评估无张力阴道吊带(TVT)的益处.
结果:将2013年1月至2016年12月温州医科大学附属第二医院和育英儿童医院的49例和47例患者纳入TVT-O组和TVT-A组。分别。我们评估与TVT-O和TVT-A相关的成功率和围手术期并发症。采用使用患者总体改善印象(PGI-I)量表的问卷来评估手术的影响。患者随访1年,手术后5年。在1年(p=0.4)和5年(p=0.32)随访期间,TVT-A组和TVT-O组的疗效无统计学差异。在为期一年的后续行动中,TVT-O组中95.9%(n=47)的患者和TVT-A组中95.8%(n=45)的患者表现出改善。在五年后续行动期间,TVT-O组中87.8%(n=43)的患者和TVT-A组中93.6%(n=44)的患者表现出改善。
结论:根据我们的发现,TVT-A和TVT-O手术显示出相似的高成功率和低并发症频率。
公众号