经阴道无张力尿道中段吊带术_TVT术.pptVIP

经阴道无张力尿道中段吊带术TVT术 仁济医院泌尿外科 TVT微创伤手术1. 减少手术时间 Reduce surgical time 2. 减少住院时间 Reduce length of hospitalization 3. 减少并发症 Reduce complication rates/risks 4. 复原快 Allow quicker return to normal, daily activities5. 减少费用 Lower costs GYNECARE TVT Tension-free Support for IncontinenceTVT尿失禁的无张力支撑简介 ITVT尿失禁的无张力支撑是一种创新的微创伤手术方法, 它对张力性尿失禁治疗的有效性已得到了充分的临床证明 GYNECARE TVT Tension-free Support for Incontinence is an innovative minimally invasive surgical alternative for the effective treatment of stress urinary incontinence, with proven results使用Prolene网带进行无张力尿道中段悬吊术 The placement of a piece of PROLENE mesh (45 cm x 1.1 cm x 0.7 mm) without tension, at the mid urethra GYNECARE TVT Tension-free Support for Incontinence TVT尿失禁的无张力支撑简介 II局麻, 阻滞/硬膜外Local anesthesia,sedation/regional经阴道进路，切口小, 分离少 Minimal incisions and dissection 网带无张力地置于尿道中段下Tape placed at mid urethra without tension 普理灵聚丙烯网带无需和任何组织固定 No fixation术中使用膀胱镜 Cystoscopy performed 术后插尿管时间短 Infrequent use of post-op catheters 可在门诊进行，当天出院 Discharge home the same day Goal of Surgery手术目的1. 修复和/或加强阴道尿道韧带 Restore and/or reinforce the pubourethral ligaments. 2. 修复和/或加强尿道下阴道吊筋膜 Restore and/or reinforce the suburethral vaginal hammock3. 加强尿道旁结缔组织 Reinforce the paraurethral connective tissue GYNECARE TVT Tension-free Support for Incontinence Indications TVT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Intended to be used for treatment of Female Stress Urinary Incontinence resulting from 尿道过度活动 urethral hypermobility尿道括约肌损伤intrinsic sphincter deficiency GYNECARE TVT Contraindications TVT尿失禁的无张力支撑禁忌征怀孕病人 Pregnant patients 未完成发育的病人 Patients with future growth potential计划要怀孕的病人 Women with plans for future pregnancy GYNECARE TVT Tension-Free Support for Incontinence System TVT产品系列TVT 网带 GYNECARE TVT Device 推针器 GYNECARE TVT Introducer 导引杆 GYNECARE TVT Rigid Catheter Guide GYNECARE TVT Tension-free Support for Incontinence Description: PROLENE*polypropylene mesh covered by a plastic sheathProlene*网 带: 网 状 钩 形 编 织 , 外 面 套 有 塑 料 膜 Prolene*网 带