摘要
目的探讨女性膀胱颈梗阻的诊断标准和经尿道膀胱颈切开术的手术方法及治疗效果。方法回顾性总结分析我院2008年8月～2017年8月收治的57例女性膀胱颈梗阻病人的临床资料。结果依据尿动力学检查Q_(max)≤15mL/s,Pdet_(at max)≥20cm H_2O为膀胱颈梗阻的诊断标准,采用经尿道膀胱颈5、7点钟切开的手术方法,57例患者治疗效果良好,无尿瘘及尿失禁发生,术后患者临床症状好转,术前术后自由尿流率明显增高,患者膀胱残余尿量及上尿路积水量均显著减少。结论女性膀胱颈梗阻行尿流动力学检查对诊断具有重要意义,保留6点钟的经尿道膀胱颈5、7点切开术是治疗女性膀胱颈梗阻的有效治疗方法。
Objective To explore the diagnostic criteria of female bladder neck obstruction and the surgical method and therapeutic effect of urethral cystotomy. Methods The clinical data of 57 cases of female bladder neck obstruction in our hospital from August 2008 to August 2017 were reviewed retrospectively. Results According to the urodynamic examination,Qmax was no more than 15mL/s,Pdet at max ≥ 20cm H2O was the diagnostic criteria for bladder neck obstruction,and the surgical method was performed by the urethral cyst at 5 and 7o’clock,and 57 patients had good treatment effect.No urinary fistula and urinary incontinence occurred.The postoperative patients had better clinical symptoms.The free urinary flow rate was significantly increased after the operation,and the residual urine volume of the bladder was significantly reduced,and the volume of water in the patients with hydronephrosis was significantly reduced. Conclusion Urodynamic examination of female bladder neck obstruction is of great significance for diagnosis.Transurethral bladder neck incision at 5 and 7o’clock at 6o’clock is an effective treatment for female bladder neck obstruction.
作者
程全科
吴国英
王凯
CHENG Quanke;WU Guoying;WANG kai(Department of Urology,the 989 Hospital of the People's Liberation Army,Pingdingshan 467000,China)
出处
《中国医药科学》
2019年第8期226-228,共3页
China Medicine And Pharmacy
关键词
尿动力学
膀胱颈切开:女性
膀胱颈梗阻
Urodynamics
Bladder neck incision
Female
Bladder neck obstruction
作者简介
通讯作者:吴国英.
