阴道无张力尿道悬吊术(TVT)成功与否的决定因素:来自荷兰TVT数据库的前瞻性多中心队列研究

作     者：Schraffordt Koops S.E. Bisseling T.M. Van Brummen H.J. 李奎 

作者机构：Department of Obstetrics and Gynecology Meander Medical Center Ringweg Randenbroek 1103816CPAmersfoortNetherlands Dr. 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2006年第2卷第4期

页      码：5-6页

摘      要：Objective: The objective of this study was to report which preoperative and intraoperative factors influence the success of the tension-free vaginal tape procedure for stress urinary incontinence. Study design: This was a prospective cohort study of 809 patients. In 28 teaching hospitals and 13 local hospitals, 54 gynecologists and urologists performed the tension-free vaginal tape procedure. Results: Before treatment and 2 years postoperatively, the following question from the Urogenital Distress Inventory for stress urinary incontinence was selected to define success or failure: “Do you experience urinary leakage during physical activity, coughing, or sneezing?”Secondary outcome measurement was the outcome of the doctor’s question,“Do you leak during physical activity, coughing, or sneezing?”asked at the 2-year follow-up. Response rate was 78.7%. The success rate was significant higher in all analyses when the surgeons had performed more than 20 tension-free vaginal tape procedures (P = .003; beta = 1.918 [95%confidence interval 1.24-2.97]). General anesthesia had a negative effect on the success of the tension-free vaginal tape (P = .032; beta = 2.21 [95%confidence interval 1.07-4.55]). Conclusions:Inexperience of the surgeon with the tension-free vaginal tape procedure and general anesthesia had a negative effect on the result. We believe that the tension-free vaginal tape should be performed only by experienced surgeons.

主 题 词：TVT 队列研究 张力性尿失禁 漏尿 妇科专家 泌尿生殖系统 泌尿科 教学医院 研究设计 地方医院 

学科分类：1002[医学-临床医学类] 100211[100211] 10[医学] 

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