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首页> 外文期刊>Journal of Clinical Medicine and Research >Investigation of influence of inside out transobturator vaginal tape (TVT-O) procedure on objective, subjective cure rates and different quality of life tests in stress urinary incontinence treatment
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Investigation of influence of inside out transobturator vaginal tape (TVT-O) procedure on objective, subjective cure rates and different quality of life tests in stress urinary incontinence treatment

机译：内翻式密闭式阴道胶带（TVT-O）程序对压力性尿失禁治疗的客观，主观治愈率和不同生活质量测试的影响

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This study was aimed at Investigating the influence of the transobturator tape (TOT) procedure used in surgical treatment of stress urinary incontinence on objective and subjective cure rates, as well as quality of life. A total of 156 patients who were diagnosed as stress incontinence and mixed incontinence with stress predominancy, underwent a TOT operation under spinal anesthesia by one surgeon or two surgeons of the team. Transobturator vaginal tape (TVT)-obturator inside out material (TVT-O? (Gynecare) was used in the operation. All patients underwent preoperative and postoperative urodynamic tests and pad tests, and the results were compared. The objective and subjective cure rates were investigated in mean of 30.3 months of follow-up. The objective cure was evaluated with negative cough test and less than 8 g 24-h pad test, while the subjective cure was evaluated with Patient Global Impression of Improvement (PGI). All patients were given IIQ-7, UDI-6, UISS and VAS tests at least once and the influence of the operation upon quality of life was investigated. According to the result obtained, the mean follow up time was 30.3 ± 7.4 months (range 17 - 42). The objective cure rate was found to be 84.6% (132 patients), the subjective cure rate was found to be 89% (139 patients) and the failure rate was found to be 10.8% (17 patients). Preoperative and postoperative pad test results of the patients were found to be statistically significant (38 ± 22.3 vs. 1±2.6 p<005). Among urodynamics and symptoms evaluated pre- and postoperatively, a statistically significant difference was detected between the Q tip test (43.60 vs. 20.8), leaks over 24 h (4 vs. 0), daytime frequencyocturia (0.95 vs. 0.58) and maximum urethral closure pressure (57.3 vs. 35) (p<0.05). The preoperative and postoperative incontinence impact questionnaire-short form (IIQ-7) (11 vs. 0.6), urogenital distress inventory-short form (UDI-6) (14 vs. 7), urinary incontinence severity score (UISS) (11 vs. 2.8) and the visual analogue scale (VAS) (68 vs. 8) quality of life tests showed a significant difference (p<0.05). Summarily, the objective and subjective cure rates of the TOT procedure in the surgical treatment of female stress incontinence were quite high, thus it is an effective technique. The influence of this operation on quality of life scores evaluated with various parameters is satisfying.
机译：这项研究的目的是调查在手术治疗压力性尿失禁中使用的经闭孔带（TOT）手术对客观和主观治愈率以及生活质量的影响。共有156名被诊断为压力性尿失禁和压力性为主的混合性尿失禁的患者，由一名或两名外科医师在脊髓麻醉下接受TOT手术。术中使用经阴道闭孔阴道胶带（TVT）-密闭材料（TVT-O？（Gynecare）进行手术，对所有患者进行术前和术后尿动力学检查和垫试验，并比较结果，客观和主观治愈率分别为平均30.3个月的随访时间进行了调查，客观治疗通过阴性咳嗽试验和少于8 g 24-h垫试验进行评估，而主观治疗则通过患者总体改善印象（PGI）进行评估。至少进行一次IIQ-7，UDI-6，UISS和VAS测试，并研究手术对生活质量的影响，根据获得的结果，平均随访时间为30.3±7.4个月（范围17-42） ）。客观治愈率为84.6％（132例），主观治愈率为89％（139例），失败率为10.8％（17例）。病人的检查结果是ou nd具有统计学意义（38±22.3 vs. 1±2.6 p <005）。在术前和术后评估的尿流动力学和症状之间，在Q尖测试（43.60 vs. 20.8），24小时内渗漏（4 vs. 0），白天频率/夜尿（0.95 vs. 0.58）和最大尿道闭合压力（57.3比35）（p <0.05）。术前和术后失禁影响问卷调查表（IIQ-7）（11比0.6），泌尿生殖器窘迫调查表（UDI-6）（14 vs.7），尿失禁严重程度评分（UISS）（11 vs 2.8）和视觉模拟量表（VAS）（68 vs. 8）生活质量测试显示出显着差异（p <0.05）。综上所述，TOT手术在女性压力性尿失禁的手术治疗中的客观和主观治愈率都很高，因此是一种有效的技术。此操作对使用各种参数评估的生活质量得分的影响令人满意。

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