治疗女性压力性尿失禁_1课件

《治疗女性压力性尿失禁_1课件》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、TVT尿道中段悬吊术微创伤手术1.减少手术时间Reducesurgicaltime2.减少住院时间Reducelengthofhospitalization3.减少并发症Reducecomplicationrates/risks4.复原快Allowquickerreturntonormal,dailyactivities5.减少费用LowercostsGYNECARETVTTension-freeSupportforIncontinenceTVT尿失禁的无张力支撑TVT尿失禁的无张力支撑是一种创新的微创伤手术方

2、法,它对压力性尿失禁治疗的有效性已得到了充分的临床证明GYNECARETVTTension-freeSupportforIncontinenceisaninnovativeminimallyinvasivesurgicalalternativefortheeffectivetreatmentofstressurinaryincontinence,withprovenresults.GYNECARETVTTension-freeSupportforIncontinenceTVT尿失禁的无张力支撑使用Prolene

3、网带进行无张力尿道中段悬吊术TheplacementofapieceofPROLENEmesh(45cmx1.1cmx0.7mm)withouttension,atthemidurethraGYNECARETVTTension-freeSupportforIncontinenceTVT尿失禁的无张力支撑局麻,阻滞/硬膜外Localanesthesia,sedation/regional切口小,分离少Minimalincisionsanddissection网带无张力地置于尿道中段下Tapeplacedatmid

4、urethrawithouttension术中使用膀胱镜Cystoscopyperformed术后插尿管时间短Infrequentuseofpost-opcatheters当天出院DischargehomethesamedayGoalofSurgery手术目的1.修复和/或加强阴道尿道韧带Restoreand/orreinforcethepubourethralligaments.2.修复和/或加强尿道下阴道吊筋膜Restoreand/orreinforcethesuburethralvaginalhammoc

5、k3.加强尿道旁结缔组织ReinforcetheparaurethralconnectivetissueGYNECARETVTTension-freeSupportforIncontinenceTVT尿失禁的无张力支撑普理灵聚丙烯网带PROLENE*polypropylenemeshtape无需和任何组织固定Nofixation经阴道进路Trans-vaginalapproach组织分离少MinimaltissuedissectionGYNECARETVTTension-freeSupportforIncont

6、inenceTVT尿失禁的无张力支撑局麻Localanesthetic导尿管使用时间短Minimalcatheteruse可在门诊进行Out-patientGYNECARETVTTension-freeSupportforIncontinenceIndicationsTVT尿失禁的无张力支撑适应症适应于以下原因引起的女性张力性尿失禁IntendedtobeusedfortreatmentofFemaleStressUrinaryIncontinenceresultingfrom尿道过度活动urethralhy

7、permobility内源性尿道括约肌功能障碍intrinsicsphincterdeficiencyGYNECARETVTTension-freeSupportforIncontinenceContraindicationsTVT尿失禁的无张力支撑禁忌征怀孕病人Pregnantpatients未完成发育的病人Patientswithfuturegrowthpotential计划要怀孕的病人WomenwithplansforfuturepregnancyWarningsandPrecautions注意事项不要

8、进行抗凝治疗NoanticoagulationtherapyNoUTI要有一定膀胱颈悬吊术的经验Familiarwithbladdernecksuspensionsurgery用最小的张力在尿道中段下放置TVT网带TVTplacedwithminimaltensionatmidurethra使用膀胱镜观察确保膀胱完好Cystoscopytoconfirmbladderintegrity