摘要
目的:探讨女性膀胱出口梗阻的诊治方法。方法:对30例女性膀胱出口梗阻患者的诊治情况进行回顾性分析。20例行B超检查,7例行IVU检查,13例行尿动力学检查,25例行膀胱尿道镜检查。手术治疗21例,保守治疗9例。结果:保守治疗9例,7例效果满意,21例行经尿道膀胱颈电切术,19例术后临床症状消失,无剩余尿,2例症状改善。结论:膀胱尿道镜和尿动力学检查是该病可靠的诊断方法,经尿道膀胱颈电切术(TuRBn)是治疗女性膀胱出口梗阻的首选方法。
Objective To summarize the experience in management of female patients with bladder neck obstruction. Methods The clinical data of 30 patients with bladder neck obstruction were analysed retrospectively. Of the 30 patients, 20 were examinated by the B ultraso motography,7 by IVU and 13 by urodynamic analysis.Twenty - five patients were examinated by cystourethro-scope as well. Nine patients were conservatively treated and 21 umderwent transurethral electrocision of the bladder neck. Results The curative effects were satisfactory in 7 of 9 receiving conservative treatment. The clinical symptoms postoperatively disappeared in 19 of 21 patients undergoing the surgery and the clinical symptoms were improved in the others. Conclusions cystoscopy and/or ure-throscopy examinations combinatied with urodynamic analysis are a reliable method of diagnosing boadder neck obstruction. The transurethral electrocision of the bladder neck is the optimal option for management of the patient with bladder neck obstruction.
出处
《华南国防医学杂志》
CAS
2004年第5期36-37,共2页
Military Medical Journal of South China
