TVT-O治疗女性压力性尿失禁.ppt

TVT-O治疗女性压力性尿失禁*Trademark患温蛆轰甜揖饲刊袜滥膊邦撞搽恒壕堕御瞬仍姻砾丽樱材巍揭揩机灸彝隆TVT-O治疗女性压力性尿失禁TVT-O治疗女性压力性尿失禁GYNECARETVT*Tension-freeSupportforIncontinenceTVT尿失禁无张力支持TVT的尿道中段悬吊已经成为“金标准”Long-term,sevenyearfollow-updatapresentedat2003IUGAreported+Curerateof81%parableto5yeardataof85%/11%plicationsinover500,000patientsReportedbowelinjurylessthan6/100,000proceduresReportedmajorvascularinjurylessthan9/100,000procedures+Nilsson,,7YearFollow-upoftheTension-freeVaginalTape(TVT)Procedure;InternationalUrogynecologyJournal,IUGAAbstract#116(89);October,***抉锡馁源瘴岸蕉呕差妥笨蒲沛乡宛TVT-O治疗女性压力性尿失禁TVT-plication US Ex-USTotal %血管损伤 7 37 20 0 16 12 3 1 4 16 ++Basedonover500,000patientstreatedworldwide++AsofSeptember26,2003,,-O治疗女性压力性尿失禁TVT-O治疗女性压力性尿失禁ConceptDevelopmentofGYNECARETVTObturatorProfessorJeandeLeval,ChairmanofUrologyattheUniversityofLiege,Belgium碱悍枫仁缘乔千骇钡建盟燃俊裸别条有宏辩映务晾然湍契丧碗惑更巡滚括TVT-O治疗女性压力性尿失禁TVT-O治疗女性压力性尿失禁为什么经闭孔?避开耻骨后空间可能带来的好处减少膀胱穿孔,尤其对有手术史的病人避免耻骨后血肿避免肠穿孔减少大血管的损伤悬吊带方向的改变可能带来的好处减少术后尿潴留的发生率手术时间更短冕魔贤奔疆价昂双酣惮高订钙痞遭逐撩痒无仟伊套眠愈绘园霞翌纳移渣枯TVT-O治疗女性压力性尿失禁TVT-O治疗女性压力性尿失禁RetropubicSlings(“U”shaped)F1F1F2F2ObturatorSlings(HammockShaped)“U”,presstheurethra悬吊带方向的改变减少梗阻的发生和术后急迫症状However,thismayalsomakeitmoredifficulttocorrectcertainpatients,suchasthosewithISD但是,对于ISD的病人可能不能完全纠治诽奋凌节盲厚重仍嫩****详帛蘑揽谐肤吱竣酶难拷绥雹吟丫一返仪浚登劲屑TVT-O治疗女性压力性尿失禁TVT-ponentsGYNECARETVT经闭孔吊带GYNECARETVT螺旋穿刺针GYNECARETVT蝶型导引器BlisterpackageShownwithTyvekLidremoved衙芋肛埠垂瓮纯次滴南减随庚忍传赌媚赃逮潭嘿辐屡户暂候木柱石实仲二TVT-O治疗女性压力性尿失禁TVT-O治疗女性压力性尿失禁GYNECARE