文档介绍：TVT-O治疗女性压力性尿失禁*TrademarkGYNECARETVT*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-updatapresentedat2019IUGAreported+?Curerateof81%?Significantlyimprovedrateof16%?Comparableto5yeardataof85%/11%respectively?plicationsinover500,000patients?Reportedbowelinjurylessthan6/100,000procedures?Reportedmajorvascularinjurylessthan9/100,000procedures+Nilsson,,7YearFollow-upoftheTension-freeVaginalTape(TVT)Procedure;InternationalUrogynecologyJournal,IUGAAbstract#116(89);October,plicationUSEx-USTotal%++Basedonover500,000patientstreatedworldwide++AsofSeptember26,2019,,?ProfessorJeandeLeval,ChairmanofUrologyattheUniversityofLiege,Belgium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RetropubicSlings(“U”shaped)F1F1F2F2ObturatorSlings(HammockShaped)“U”-Hammockshapeofslingmayresultinlessobstructivesymptomsand/ordenovourgency,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GYNECARETVTObturatorSystem?ponents?GYNECARETVT经闭孔吊带?GYNECARETVT螺旋穿刺针?GYNECARETVT蝶型导引器?BlisterpackageShownwithTyvekLidremovedGYNECARETVTObturatorSystem吊带-锥形头的塑料管连于带塑料外套的蓝色普理灵网带-塑料管和组件的材料-聚乙烯-聚亚安酯--(从尖锥部到底部)螺旋穿刺针-预先放置于塑料套内-固定在塑料套内-材料-聚碳酸酯的手柄-不锈钢穿刺针BendableTabs6cm7cmGYNECARETVTObturatorSystem?蝶型导引器有助于螺旋穿刺针准确一致地穿过组织?6公分长,,grabHelicalPasserforpatient'srightsideWingedGuideslidesoutofworkstationinthisdirectionWithrighthand,g