经尿道膀胱颈内切开治疗女性膀胱出口梗阻  

Transurethral incision of the bladder neck in the treatment of female bladder outlet obstruction

作　　者：管同郁[1] 承征宇[1] 戚景光[1] 杨宁[1] 曹敬毅[1] 梁杰[1] 

机构地区：[1]江苏省徐州市第三人民医院泌尿外科,江苏徐州221005

出　　处：《中国内镜杂志》2008年第10期1067-1069,共3页China Journal of Endoscopy

摘　　要：目的探讨经尿道膀胱颈内切开治疗女性膀胱出口梗阻的初步经验。方法女性膀胱出口梗阻病例23例,年龄48～73岁,患者均有不同程度的下尿路症状。术前评估包括尿动力学检查和膀胱镜检:最大尿流率为3.2～14.8mL/s,平均(7.2±3.1)mL/s;膀胱残余尿35～120mL。所有病例均行经尿道膀胱颈内切开(截石位5、7点部位)。术后从尿动力学和临床症状两方面进行评价。结果21例患者拔管后下尿路症状明显改善,2例因长期尿潴留膀胱顺应性差延迟1个月拔管,拔管后排尿明显改善。术后1个月尿流率检查:最大尿流率为13.4～25.8mL/s,平均(15.1±4.2)mL/s(P<0.01),膀胱残余尿为0～35mL。未出现1例尿失禁及尿道阴道瘘,全部病例随访6个月～1年。结论经尿道膀胱颈内切开能有效地治疗因女性膀胱出口梗阻引起的下尿路症状。术前应当明确诊断,尿动力学评估是必要的。【Objective】To report our preliminary experience with transurethral incision of the bladder neck (TU- IBN) in the treatment of female bladder outlet obstruction (fBOO). 【Methods】Bladder outlet obstruction was diagnosed in 23 women 48 to 73 years of age, who presented with the lower urinary tract symptoms. Preoperative investigations included a urodynamic examination and systoscopy. The maximal flow rate was from 3.2 mL/s to 14.8 mL/s [mean (7.2 ±3.1) mL/s]. Postvoid residual urine volume was from 35 mL to 12...

关 键 词：女性 膀胱出口梗阻 尿动力学 经尿道膀胱颈内切开 

分 类 号：R699[医药卫生—泌尿科学]