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转闭器对抗小便失禁的迷你:一个随机对照试验

Rodrigo Bartilloti Barachisio Lisboa¹, Marcelo de Arruda Faber¹, Glaucia Miranda Varella Pereira¹

¹From the Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas (SP), Brazil.

Urogynecology (Philadelphia, Pa.)

|September 22, 2023

概括

转闭器 (TOT) 吊带在治疗压力尿失禁时,与单切口吊带 (SIS) 相比,表现出更好的结果. 托特吊带导致了患者报告的更好的改善和更少的网状侵蚀.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
妇科妇科医生妇科
手术创新在外科创新.

背景情况:

压力尿失禁 (SUI) 影响了大量女性.
中泌尿道是SUI的常见手术治疗方法.
单切口串 (SIS) 提供了一种侵入性较小的方法,但与传统的中尿道串相比,它们的有效性因设备而异.

研究的目的:

为了评估Solyx SIS是否与Obtryx转闭器 (TOT) 吊链在治疗SUI方面不劣.
为了比较患者报告的结果和两个杆类型之间的手术结果.

主要方法:

一项前性随机对照试验,涉及114名患有SUI的女性.
患者被随机分配到接受Obtrix-halo TOT吊带 (n=58) 或Solyx SIS (n=56) 的患者中.
评估的结果包括患者整体改善印象 (PGI-I),国王健康问卷 (KHQ) 评分,主观改善和手术后6个月和12个月的手术并发症.

主要成果:

两组在6个月和12个月后显示PGI-I显著改善 (P=0.001).
托特子组在6个月后报告了更高的主观改善 (P=0.006),并在12个月后在失禁影响,身体限制和严重程度领域 (P<0.05) 报告了更好的KHQ得分.
在SIS组中,网格侵蚀明显高于SIS组 (P=0.006),在重新运行率上没有显著差异.

结论:

在患者报告的结果和12个月的主观改善方面,Obtryx-halo TOT吊带优于Solyx SIS.
索利克斯SIS与更高的网状侵蚀率有关.
这些发现表明,TOT方法可能为SUI治疗提供更好的长期结果,而不是这种特定的SIS设备.

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