经尿道前列腺电切术后膀胱颈挛缩的防治  

Treatment and prevention of bladder neck contracture after transurethral resection of prostate

作　　者：许嘉骏[1] 徐丹枫[2] 郑军华[2] 任吉忠[2] 周伟民[1] 朱晓明[1] 谭剑敏[1] 闵志廉[2] 

机构地区：[1]第二军医大学附属长征医院闸北分院泌尿外科,上海200070 [2]第二军医大学附属长征医院泌尿外科

出　　处：《临床泌尿外科杂志》2006年第12期923-924,共2页Journal of Clinical Urology

摘　　要：目的:探讨经尿道前列腺电切术(TURP)后膀胱颈挛缩(BNC)的防治。方法:回顾性分析68例BNC患者的诊断和治疗临床资料。结果:经尿道行膀胱颈后唇切除,用冷刀切开膀胱颈部,再换用电切刀切除瘢痕组织。术后平均随访36个月,一次手术治愈60例(89%);复发8例(11%),经再次或三次手术治愈。结论:腔内手术治疗TURP术后BNC是一种安全、有效的方法。Objective：To discuss the treatment and prevention of bladder neck contracture（BNC） by transurethral resection of prostate （TURP）. Methods： Analyze the diagnosis and treatment in 68 cases with BNC admitted from 1995-2006 retrospectively. Results：Transurethral resection of bladder neck rear lip, resection of scar tissue accompanied with cold-knife incision of bladder neck were performed in those cases. All patients have been followed up for 3-48 months with a mean of 36 months. The success rate has been 89%. Recurrence was observed in 8 （11% ）twice or three times with success. Conclusions：Endourethral surgery is safe and efficient treatment for bladder neck contracture by transurethral resection of prostate.

关 键 词：膀胱颈挛缩 经尿道前列腺电切术 治疗 

分 类 号：R694[医药卫生—泌尿科学]