2-4年随访后TVT-O与Monarc:一项前瞻性比较研究。

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-11-01 Epub Date: 2009-07-14 DOI:10.1007/s00192-009-0943-5

R Marijn Houwert, Charlotte Renes-Zijl, M Caroline Vos, Harry A M Vervest

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引用次数: 38

摘要

前言和假设:本研究的目的是比较无张力阴道带“由内而外”(TVT-O)和Monarc transtator带2-4年后的结果和生活质量。方法:采用前瞻性比较研究方法。参与者(n = 191)被分配到TVT-O (n = 93)或Monarc (n = 98)程序。压力性尿失禁(stress urinary incontinence, SUI)的治愈被定义为女性在体育锻炼后没有出现任何尿失的情况。结果:TVT-O 2-4年后治愈率为72%，Monarc为65%，改善率分别为12%和21% (p = 0.3)。两种治疗方法在生活质量上有统计学上的显著改善，但没有发现差异。结论:经过2-4年的随访，两种手术治疗SUI同样安全有效。

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TVT-O versus Monarc after a 2-4-year follow-up: a prospective comparative study.

Introduction and hypothesis: The aim of this study was to compare outcome and quality of life of tension-free vaginal tape "inside-out" (TVT-O) and Monarc transobturator tapes after 2-4 years.

Methods: The method used was a prospective comparative study. Participants (n = 191) were assigned to either a TVT-O (n = 93) or a Monarc (n = 98) procedure. Cure of stress urinary incontinence (SUI) was defined as the statement of the woman of not experiencing any loss of urine upon physical exercise.

Results: Cure rates after 2-4 years were 72% for TVT-O and 65% for Monarc, while improvement was observed in, respectively, 12% and 21% (p = 0.3). There was a statistically significant improvement in quality of life but no differences were found between both procedures.

Conclusions: After a 2-4-year follow-up period, both procedures were equally safe and effective in curing SUI.

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International urogynecology journal and pelvic floor dysfunction

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