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題 名 | Tension-Free Vaginal Tape versus Laparoscopic Baldder Neck Suspension for Stress Urinary Incontinence=腹腔鏡膀胱頸懸吊術與無張力性陰道懸帶術使用在婦女應力性尿失禁病患之比較 |
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作 者 | 梁景忠; 宋永魁; | 書刊名 | 長庚醫學 |
卷 期 | 25:6 2002.06[民91.06] |
頁 次 | 頁360-366 |
分類號 | 416.274 |
關鍵詞 | 腹腔鏡懸吊術; 無張力性陰道懸帶術; 尿失禁; Laparoscopic suspension; Tension-free vaginal tape; Urinary incontinence; |
語 文 | 英文(English) |
中文摘要 | 背景:由於住院天數短、恢復快、治癒效果佳,腹腔鏡膀胱頸懸吊術與無張力性陰道懸帶術是目前被很多醫師採用的尿失禁手術。本研究的目的在比較此兩種微侵襲性尿失禁手術的效果。 方法:自1997年10月到2000年2月,由同一名婦女泌尿科醫師針對應力性連失禁(膀胱頸過度下降)進行手術,其中22名採用腹腔鏡膀胱頸懸吊術,另外23名採用無張力性陰道懸帶術,並且分析病患的手術時間、失血量、回復自己解尿的時間,術後以尿動力學檢查,一小時棉墊測試與解尿日誌為評估。 結果:手術時間與回復自己解尿的時間,在無張力性陰道懸帶術群(31.9±6分鐘,2.1±1.5天)統計上有意義較短於腹腔鏡膀胱頸懸吊術群(111.7±15.6分鐘,4±0.9天)。治癒率在無張力性陰道懸帶術群是86.9%,在腹腔鏡膀胱頸懸吊術群是86.4%,兩者並沒有統計學上的意義。 結論:腹腔鏡胱頸懸吊術與無張力性陰道懸帶術應用在婦女尿失禁的治療,追蹤都有不錯的治癒率。因為學習時間、手術時間,以及回復個己解尿的時間都比腹腔鏡膀胱頸懸吊術短,無張力性陰道縣帶術被建議用在單純尿失禁的手術上;至於合併有婦科病灶需要探腹時,可以考慮採用腹腔鏡手術。 |
英文摘要 | Background: Owing to their various advantages, including shortened hospital stays, faster recoveries, and satisfactory outcomes, laparoscopic bladder neck suspension minimally-invasive anti-incontinent procedures. The aim of this study was to demonstrate the outcomes of LBNS and TVT procedures fir treatment of stress urinary incontinence. Methods: From October 1997 to February 2000, 22 women with genuine stress incontinence underwent LBNS, and another 23 women underwent TVT. Estimates of operative time, blood loss, and time to resumption of spontaneous urination were recorded for each group. Surgical results were assessed by urodynamic studies, 1-h pad tests, and voiding diaries. Results: There were to statistically significant differences between these 2 groups in terms of demographics and blood loss during the operation. When comparing operative time and time to resumption of spontaneous urination, the TVT group had significantly lower values than did the LBNS group for both parameters, at 31.9±6.0 VS. 111.7±15.6 min and 2.1±1.5 vs. 4.0±0.9 days, respectively. The cure rate was 86.9% in the TVT group and 86.4% in the LBNS group. Conclusion: Both TVT and LBNS have been proven effective in treating women with stress urinary incontinence. The TVT procedure, owing to its shorter learning curve, less intraoperative blood loss, and quicker resumption of spontatneous urination, is recommended to treat women suffering from pure stress urinary incontinence. Whereas, in cases that are complicated with concomitant adnexal disease or uterine pathology, LBNS is considered an alternative procedure. |
本系統中英文摘要資訊取自各篇刊載內容。