摘要
目的探讨改良等离子经尿道膀胱颈电切术（transurethral resection of bladder neck,TURBN）治疗女性原发性膀胱颈梗阻（primary bladder neck obstruction,PBNO）的疗效及经验。方法 2012年1月至2015年3月对38例女性PBNO患者[术前最大尿流率（10.8±2.2）mL/s,超声残余尿（84.6±30.9）mL]行改良TURBN,电切5~7点膀胱颈增生组织,可向3、9点扩展。结果手术过程顺利,随访0.6~2年,37例排尿顺畅,1例排尿不畅,2例出现轻度压力性尿失禁。术后1个月随访最大尿流率（20.2±3.3）mL/s,超声残余尿（14.1±8.2）mL,与术前相比差异有统计学意义。结论改良TURBN治疗女性PBNO效果好且并发症少。
Objective To evaluate the clinical effect of improved transurethral resection of bladder neck（TURBN）with bipolar PK generation for the treatment of female primary bladder neck obstruction（PBNO）. Methods Thirty-eight cases of female PBNO were admitted from Jan.,2012 to Mar.,2015.Their peak flow was（10.8±2.2）mL/s,and residual urine was（84.6±30.9）mL.All patients accepted improved TURBN with bipolar PK generation.Incision place situated in 5-7 points of bladder neck,and could extend to3 and9 point. Results All operations were completed smoothly.Without severe complications.During the 0.6-2 years of follow-up,only one patietns complained dysuria again,and2 patients complained urinary incontinence.Their peak flow was（20.2±3.3）mL/s,and residual urine was（14.1±8.2）mL one month after operation,which had no statistical difference compared with preoperation data. Conclusions Improved TURBN with bipolar PK generation is effective in treating female PBNO with little complication.
出处
《复旦学报（医学版）》
CAS
CSCD
北大核心
2016年第2期201-204,225,共5页
Fudan University Journal of Medical Sciences
关键词
女性
原发性膀胱颈梗阻
经尿道膀胱颈电切术
female
primary bladder neck obstruction
transurethral resection of bladder neck
