女性功能性膀胱出口梗阻的诊断与治疗  

Diagnosis and treatment of functional bladder outlet obstruction in female

作　　者：周兴[1] 陈志光[1] 孔桃红[1] 邓振农[1] 谢文琪[1] 曾格瓦[1] 

机构地区：[1]广州医学院第二附属医院泌尿外科,510260

出　　处：《岭南现代临床外科》2005年第1期61-63,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨女性功能性膀胱出口梗阻的诊断与治疗方法。方法28例因排尿困难就诊的女性患者,经尿流动力学检查,排尿期膀胱造影及膀胱镜检查等确诊为功能性膀胱出口梗阻。平均最大尿流率11.3ml/s,平均剩余尿量180ml。所有患者接受经尿道内括约肌切开术和α鄄受体阻滞剂治疗。结果平均手术时间15min;术后平均住院4d,所有患者排尿顺畅,症状明显改善。术后10月随访,平均最大尿流率25.7ml/s,平均剩余尿量30ml,与治疗前相比差异显著(P<0.05)。结论联合应用尿流动力学检查,排尿期膀胱尿道造影及膀胱镜检查可准确诊断功能性膀胱出口梗阻。经尿道内括约肌切开术及α鄄受体阻滞剂治疗是较理想的治疗方法之一。Objective To investigate the diagnosis and treatment of functional bladder outlet obstruction. Methods 28 female patients with dysuria were diagnosed as fanctional bladder outlet obstruction by the urodynamic examination,cystography and cystoscopy.The mean maximum urinary flow rate was 11.3ml/s, and the mean residual volume was 180 ml. All patients were treated with transurethral internal sphincterotomy and alpha blockers. Results The mean operative time was 15 min, mean postoperative hospitalization was 4 days. During 10 months follow-up after operation, most of the patients were satisfactory to the treatment results . The mean maximum urinary flow rate was 25.7 ml/s and the mean residual volume was 30ml. Conclusion The functional bladder outlet obstruction can be diagnosed correctly by the combined with the urodynamic examination,cystography and cystoscopy. The treatments with transurethral incision of bladder neck and alpha-blockers are one of comparative ideal therapeutic method for functional bladder outlet obstruction.

关 键 词：膀胱出口梗阻 诊断与治疗 性功能 排尿 Α-受体阻滞剂 切开术 内括约肌 尿流动力学检查 剩余尿量 最大尿流率 

分 类 号：R697[医药卫生—泌尿科学] R694[医药卫生—外科学]