摘要
目的探讨经尿道膀胱颈电切术治疗女性膀胱颈增生的疗效。方法1998年2月-2005年3月对26例女性膀胱颈增生行经尿道膀胱颈电切术(transurethral resection of bladder neck,TURBn)。从6点开始电切,并向5、7点扩展,切除膀胱颈3-9点增生的组织,深0.5-1.0 cm达肌纤维,长度1.0-2.0 cm。结果26例手术过程顺利。术后留置尿管3-5d。26例术前最大尿流率(Qmax)(9.0+6.6)ml/s升至术后(23.0+7.0)ml/s(t=4.213,P=0.004)。1例出现短期的尿失禁,无一例发生尿瘘。26例随访0.5-7.0年,平均2.3年,24例拔除尿管后排尿通畅,下尿路梗阻症状消失,最大尿流率(Qmax)>15ml/s;2例排尿困难较术前明显改善,最大尿流率(Qmax)分别为13、11 ml/s。结论TURBn是治疗女性膀胱颈增生的有效方法。
Objective To evaluate the clinical effect of transurethral resection of bladder neck(TURBn) for the treatment of female bladder neck obstruction.Methods A total of 26 cases of female bladder neck obstruction was treated with TURBn from February 1998 to March 2005. The electrocision was initiated from the 6 o'clock position,and expanded to the 5~7 o'clock direction.Hyperplastic tissues in the 3~9 o'clock area of the bladder neck were removed,with a depth of 0.5~1.0 cm to the muscular layer and a length of 1.0~2.0 cm.Results The course of operation was smooth.After operation,an indwelling catheter was placed for 3~5 days.The maximal urinary flow rate(Qmax) was elevated from 9.0±6.6 ml/s preoperatively to 23.0±7.0ml/s postoperatively(t=4.213,P=0.004).Transient urinary incontinence occurred in 1 case,and no urinary fistula was found.The 26 cases were followed for 0.5~7.0 years(mean,2.3 years).Normal voiding and disappeared symptoms of lower urinary tract obstruction were achieved after the removal of urethral catheter in 24 cases,with the Qmax > 15 ml/s;dysuria was significantly improved in the other 2 cases,with the Qmax being 13 and 11 ml/s,respectively.Conclusions Transurethral resection of bladder neck is an effective means for the treatment of female bladder neck obstruction.
出处
《中国微创外科杂志》
CSCD
2007年第3期262-263,共2页
Chinese Journal of Minimally Invasive Surgery
关键词
女性
膀胱颈增生
经尿道膀胱颈电切术
Female
Bladder neck obstruction
Transurethral resection of bladder neck
