逆流管与跨管:中期满意度和膀过活的结果
Erika Gandelsman1,2, Jonatan Neuman3, Réka Fábián-Kovács3
1Department of Obstetrics and Gynecology, Hillel Yaffe Medical Center, Hadera, Israel.
概括
无论是无后张的阴道带 (TVT) 还是转闭带 (TOT),都提供了高的患者满意度,并改善了压力尿失禁的过度活性膀症状. 这些中期结果证实了它们在手术管理中的安全性和有效性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 女性盆腔医学和重建性手术
背景情况:
- 压力尿失禁 (SUI) 显著影响生活质量.
- 尿道中部吊带手术,包括无后张的阴道带 (TVT) 和转闭带 (TOT),是SUI的常见手术治疗方法.
- 在TVT和TOT之间对中期患者满意度和过活性膀 (OAB) 症状结果的比较数据对于临床决策至关重要.
研究的目的:
- 为了比较 retropubic 无张力阴道带 (TVT) 与 transobturator 带 (TOT) 的中期结果,用于手术治疗压力尿失禁 (SUI).
- 为了评估TVT和TOT程序后的患者满意度.
- 评估TVT和TOT对患有OAB的患者过活性膀 (OAB) 症状的影响.
主要方法:
- 一个前性,单个外科医生对象研究,针对接受TVT或TOT的SUI女性.
- 26-41个月的随访包括图表审查和评估满意度的患者访谈 (≥75% =满意).
- 统计分析使用曼·惠特尼U测试用于连续变量和费舍尔精确测试用于分类变量;P<0.05是显著的.
主要成果:
- 报告的高患者满意度为TVT的88.0%,TOT的89.3% (P ≈ 1.00),结果与灵敏度分析相一致.
- 在患有先前OAB的患者中,症状改善在78.3% (TVT) 和61.1% (TOT) (P = 0.47) 观察到.
- 复杂性发生率较低,在各组之间相似,在TVT组中发现了一个膀穿孔.
结论:
- 无论是TVT和TOT程序都显示出高的患者满意度和有效性,在中期随访 (26-41个月) 中改善OAB症状.
- 在两组中观察到的低并发症率加强了他们已建立的安全概况.
- 这些发现支持继续使用TVT和TOT作为中期管理SUI的安全和有效的外科选择.
相关概念视频
Predicting Reaction Outcomes
10.9K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.9K
Outcomes of Glycolysis
107.3K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.3K
Long-term Depression
33.3K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
33.3K
Long-term Depression
3.4K
Long-term depression, or LTD, is one of the ways by which synaptic plasticity—changes in the strength of chemical synapses—can occur in the brain. LTD is the process of synaptic weakening that occurs over time between pre and postsynaptic neuronal connections. The synaptic weakening of LTD works in opposition to synaptic strengthening by long-term potentiation (LTP) and together are the main mechanisms that underlie learning and memory.
Calcium Ion Concentration Mechanism
If over...
Calcium Ion Concentration Mechanism
If over...
3.4K
Urinary Bladder
3.5K
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
3.5K
Guidelines for Writing Outcome
4.0K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
4.0K


