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首页> 外文期刊>British Journal of Obstetrics and Gynaecology >A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence.
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A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence.

机译：为期三年的无张力阴道带手术治疗女性压力性尿失禁。

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OBJECTIVE: To study the long term results of tension-free vaginal tape, a new ambulatory surgical procedure for treatment of female stress urinary incontinence. STUDY DESIGN: A prospective open study using a standardised protocol for pre- and post-operative evaluation. PARTICIPANTS: Fifty consecutive women participated in the study. All suffered from genuine stress incontinence. The mean age was 57 years (SD 11), 42 women (84%) were multiparous, 8 (16%) nulliparous. SURGICAL METHOD: Tension-free vaginal tape implies the implantation of a prolene tape around mid-urethra via a minimal vaginal incision. The procedure is carried out under local anaesthesia, allowing the surgeon to check intra-operatively that continence has been obtained. RESULTS: All the women except one could be operated on an ambulatory basis under local anaesthesia. Mean operation time was 29 minutes (range 1647). Ninety percent of the women were able to micturate spontaneously within 24 hours with insignificant residual volumes. In another 10% of the women an in-dwelling catheter had to be used temporarily. There was no need for long term postoperative catheterisation (> 14 days). Post-operative evaluation was carried out after 2 to 6, 12, 24 and 36 months. According to the protocol, 86% of the women were completely cured and another 11% were significantly improved. No signs of deterioration of the results over time were observed. No defect in healing or rejection of the tape occurred. CONCLUSION: We consider the tension-free vaginal tape operation to be a safe and effective surgical procedure for the treatment of female urinary stress incontinence. The technique can be considered as an ambulatory procedure performed under local anaesthesia, allowing the majority of the women to be discharged from the clinic the same day or the day after the procedure.
机译：目的：研究无张力阴道带的长期效果，这是一种用于治疗女性压力性尿失禁的新型门诊手术程序。研究设计：前瞻性开放研究，采用标准化方案进行术前和术后评估。参与者：连续有50名妇女参加了这项研究。所有人都患有真正的压力性尿失禁。平均年龄为57岁（SD 11），42例女性（84％）为多胎，8例（16％）为未产。手术方法：无张力的阴道带意味着通过最小限度的阴道切口在尿道中部周围植入prolene胶带。该程序在局部麻醉下进行，使外科医生可在术中检查是否已获得大便。结果：除一名妇女外，所有妇女均可在局部麻醉下在门诊手术。平均手术时间为29分钟（范围1647）。 90％的妇女能够在24小时内自发排尿，残留量微不足道。在另外10％的女性中，必须临时使用留置导管。术后无需长期插管（> 14天）。术后2至6、12、24和36个月进行评估。根据该协议，86％的妇女已完全治愈，另有11％的妇女得到了明显改善。没有观察到结果随时间恶化的迹象。磁带的修复或剔除没有发生缺陷。结论：我们认为无张力阴道带手术是治疗女性尿失禁的一种安全有效的手术方法。该技术可被认为是在局部麻醉下进行的门诊手术，允许大多数妇女在手术当天或手术后第二天从诊所出院。

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