TUIBN和TURBN治疗膀胱颈挛缩的比较研究  

COMPARATIVE STUDY OF TUIBN AND TURBN IN TREATMENT OF BLADDER NECK CONTRACTURE

作　　者：方永刚[1] 高慎元 马新建[1] 叶坤[1] 赵毅[1] 张安山[1] 

机构地区：[1]宿迁市中医院泌尿外科,江苏宿迁223800

出　　处：《承德医学院学报》2017年第1期26-28,共3页Journal of Chengde Medical University

摘　　要：目的:探讨环状电极经尿道膀胱颈电切术(TURBN)和针状电极经尿道膀胱颈内切开术(TUIBN)治疗膀胱颈挛缩的疗效。方法:52例膀胱颈挛缩患者根据手术方式的不同分为实验组和对照组,每组26例患者,实验组采用TUIBN术式治疗、对照组采用TURBN术式治疗。比较两组患者的手术时间、术后残余尿量、术后最大尿流率,术后随访观察远期疗效。结果:实验组患者手术时间、残余尿量明显低于对照组,最大尿流率明显高于对照组(P<0.05);并且,实验组患者远期排尿情况明显优于对照组。结论:与TURBN比较,TUIBN治疗膀胱颈挛缩具有手术时间短、术后残余尿量少、容易操作、远期效果好等优点。Objective： To investigate the curative effects of TUIBN and TURBN in treatment of bladder neck contracture. Methods： 52 cases of bladder neck contracture patients were divided into experimental group and control group according to operation method with 26 patients in each group. The patients in experimental group and control group were respectively treated with TUIBN and TURBN. The operation time, residual urine volume and maximum flow rate after operation of 2 groups were compared, and the long term effects were observed by follow-up. Results： The operation time and residual urine volume of experimental group were obviously lower than control group, but maximum flow rate was obviously higher（P〈0. 05）. Moreover, the forward urination of experimental group was also better than control group. Conclusions： Compared with TURBN, treating bladder neck contracture with TUIBN has the advantages of short operation time, little residual urine volume, easy operation and better long term effects.

关 键 词：膀胱颈挛缩 环状电极经尿道膀胱颈电切术(TURBN) 针状电极行经尿道膀胱颈内切开术(TUIBN) 

分 类 号：R691.2[医药卫生—泌尿科学]