改良等离子经尿道膀胱颈电切术治疗女性原发性膀胱颈梗阻  

Treatment of female primary bladder neck obstruction by improved transurethral resection of bladder neck with bipolar PK generation

作　　者：张忠云[1] 张正望[1] 叶茂飞 方伟林[1] 郑吉琼[1] 孙忠全[1] 钱伟庆[1] 

机构地区：[1]复旦大学附属华东医院泌尿外科,上海200040

出　　处：《复旦学报（医学版）》2016年第2期201-204,225,共5页Fudan University Journal of Medical Sciences

摘　　要：目的探讨改良等离子经尿道膀胱颈电切术（transurethral resection of bladder neck,TURBN）治疗女性原发性膀胱颈梗阻（primary bladder neck obstruction,PBNO）的疗效及经验。方法 2012年1月至2015年3月对38例女性PBNO患者[术前最大尿流率（10.8±2.2）mL/s,超声残余尿（84.6±30.9）mL]行改良TURBN,电切5~7点膀胱颈增生组织,可向3、9点扩展。结果手术过程顺利,随访0.6~2年,37例排尿顺畅,1例排尿不畅,2例出现轻度压力性尿失禁。术后1个月随访最大尿流率（20.2±3.3）mL/s,超声残余尿（14.1±8.2）mL,与术前相比差异有统计学意义。结论改良TURBN治疗女性PBNO效果好且并发症少。Objective To evaluate the clinical effect of improved transurethral resection of bladder neck（TURBN）with bipolar PK generation for the treatment of female primary bladder neck obstruction（PBNO）. Methods Thirty-eight cases of female PBNO were admitted from Jan.,2012 to Mar.,2015.Their peak flow was（10.8±2.2）mL/s,and residual urine was（84.6±30.9）mL.All patients accepted improved TURBN with bipolar PK generation.Incision place situated in 5-7 points of bladder neck,and could extend to3 and9 point. Results All operations were completed smoothly.Without severe complications.During the 0.6-2 years of follow-up,only one patietns complained dysuria again,and2 patients complained urinary incontinence.Their peak flow was（20.2±3.3）mL/s,and residual urine was（14.1±8.2）mL one month after operation,which had no statistical difference compared with preoperation data. Conclusions Improved TURBN with bipolar PK generation is effective in treating female PBNO with little complication.

关 键 词：女性 原发性膀胱颈梗阻 经尿道膀胱颈电切术 

分 类 号：R695.1[医药卫生—泌尿科学]