下尿路梗阻误诊为神经源性膀胱2例的原因分析  

Cause analysis of two cases with lower urinary tract obstruction misdiagnosed as neurogenic bladder

作　　者：张志杰[1] 杨静哲[1] 代宏亮[1] 陈小均[1] 贾玉森[1] 

机构地区：[1]北京中医药大学东方医院泌尿外科,北京100078

出　　处：《中国性科学》2015年第4期53-55,共3页Chinese Journal of Human Sexuality

摘　　要：目的:探讨下尿路梗阻的病因及诊断要点,分析误诊原因。方法:对我院收治2例下尿路梗阻的临床资料进行回顾性分析。结果:2例均表现为排尿困难,外院诊断为神经源性膀胱,就诊我院后经尿动力检查、膀胱镜检查、尿道造影检查后,确诊为女性膀胱颈梗阻与尿道狭窄,予以经尿道膀胱颈电切术和经尿道内冷刀切开术治疗后,病情痊愈出院。结论:下尿路梗阻病因复杂,临床上易误诊,排尿困难应首先考虑下尿路梗阻,及时进行相关检查以尽早诊治。Objectives： To investigate the etiology and the diagnosis points of lower urinary tract obstruction and to analyze the causes of misdiagnosis. Methods： The clinical data of our hospital＇s two cases of lower urinary tract obstruction were retrospectively analyzed. Results： The two cases of dysuria were diagnosed as neurogenic bladder in other hospital. After the urodynamic,cystoscopy and urethrography examination,the final diagnosis was：female bladder neck obstruction and urethral stricture. After the transurethral resection of the bladder neck and internal urethrotomy with cold knife,the disease was cured. Conclusion： The etiology of lower urinary tract obstruction is complex. Since patients with dysuria are often misdiagnosed in clinic,lower urinary tract obstruction should be considered firstly. Patients should be given relevant examination and treatment in time.

关 键 词：下尿路梗阻 误诊 神经源性膀胱 

分 类 号：R167[医药卫生—公共卫生与预防医学]