原发纤维组织增生性膀胱颈部梗阻的诊治  

Diagnosis and treatment of bladder neck obstruction caused by bladder neck fibrosis

作　　者：王守学[1] 周小庆[1] 

机构地区：[1]浙江省丽水市人民医院泌尿外科

出　　处：《浙江临床医学》2004年第9期756-757,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 探讨原发纤维组织增生所致的膀胱颈部梗阻 (BNO)的诊治方法。方法 对1995年6月～2002年6月间收治46例BNO患者的临床资料进行回顾性分析。 结果 全部患者均经尿道膀胱颈部电切术 (TURBN)治疗。治愈34例、临床症状好转12例。结论膀胱颈部纤维组织增生和慢性炎症是BNO的主要病因 ,尿流率测定是客观评价排尿状况的指标 ,而临床症状、残余尿量、膀胱镜检查是诊断BNO的可靠依据。TURBN术是有效的治疗方法。Objective To explore the diagnosis and treatment of bladder neck obstruction(BNO)caused by bladder neck fibrosis. Methods 46patients of BNO from1995.6to2002.6in our department were analysed retrospectively. Results All patients were treated with transurethral resection of bladder neck(TURBN).34patients were cured and12patients were improved. Conclusion The etiological factors of BNO are fibroplastic proliferation and chronic inflammation,Uroflometry could provide an objective evaluating index.Clinical symptoms,residual urine and cystoscopy are the reliable diagˉnostic methods.TURBN is an effective therapy.

关 键 词：原发纤维组织增生性膀胱颈部梗阻 诊断 治疗 经尿道膀胱颈部电切术 病因 

分 类 号：R694.2[医药卫生—泌尿科学]