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赵良伟,杨浩,姚丽娟,许增宝.封闭式环型与开放式环型引导穿刺器在压力性尿失禁手术中应用比较[J].浙江中西医结合杂志,2020,30(10):
封闭式环型与开放式环型引导穿刺器在压力性尿失禁手术中应用比较
Comparison of the application of closed loop and open loop guiding puncture device in the operation of pressure urinary incontinence
投稿时间:2020-04-07  修订日期:2020-05-12
DOI:
中文关键词:  压力性尿失禁  封闭环型引导穿刺器  开放式环型引导穿刺器
英文关键词:Pressure urinary incontinence  Closed loop guide puncture device  Open loop guide puncture device
基金项目:湖州市科技局项目
作者单位E-mail
赵良伟 湖州市中医院 zhaoliangwei2014@163.com 
杨浩 湖州市中医院泌尿外科 42822467@qq.com 
姚丽娟 湖州市中医院  
许增宝 湖州市中医院  
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中文摘要:
      目的 探析封闭式环型与开放式环型引导穿刺器在压力性尿失禁手术中应用比较。方法 选取湖州市中医院确诊为压力性尿失禁需行无张力尿道中段吊带术(TVT-O术式)治疗患者62例,采用随机数字表法随机分为对照组(31例)术中使用开放式环型引导穿刺器,观察组(31例)术中使用封闭式环型引导穿刺器,观察手术时间、术中术者损伤比例、术中出血量,进行两者比较。结果 观察组手术过程中术者无损伤情况发生,对照组手术过程中术者损伤比例为64.52%;观察组手术时间(11.06±2.29)min及术中出血量(39.94±6.60)ml均低于对照组手术时间(21.03±2.89)min及术中出血量(55.61±7.46)ml,差异有统计学意义(P<0.05)。结论 封闭式环型引导穿刺器相比开放式环型引导穿刺器在压力性尿失禁手术中应用具有缩短手术时间、避免术中术者手指损伤、降低术中出血量的优势。 关键词: 压力性尿失禁;封闭环型引导穿刺器;开放式环型引导穿刺器
英文摘要:
      Objective: To compare the application of closed-loop and open-loop puncture guide in the operation of pressure urinary incontinence. Methods: 62 cases of stress urinary incontinence diagnosed by Huzhou Hospital of traditional Chinese medicine were treated with tension-free middle urethral sling (TVT-O operation) They were randomly divided into control group (31 cases) and observation group (31 cases). The operation of control group adopt open-loop puncture guide in the operation of pressure urinary incontinence. The operation of observation group adopt closed-loop puncture guide in the operation of pressure urinary incontinence. The time of operation, the proportion of operator injury and the amount of bleeding were observed and compared.Results: in the observation group, there was no operator injury during the operation, while in the control group, the proportion of operator injury was 64.52%; in the observation group, the operation time was (11.06min±2.29min) and the amount of bleeding was (39.94ml ± 6.60ml), in the control group, the operation time was (21.03min±2.89min) and the amount of bleeding was (55.61ml±7.46ml),The difference was statistically significant (P < 0.05).Conclusion: compared with the open-loop puncture guide,the closed-loop puncture guide in the operation of pressure urinary incontinence has the advantages of shortening the operation time, avoiding the finger injury and reducing the amount of bleeding.
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