输尿管导管在女性膀胱颈口梗阻电切中的临床应用  

作　　者：沈敏强[1] 张明华[1] 叶发根[1] 杨荣华[1] 

机构地区：[1]浙江省湖州市中心医院泌尿外科,313000

出　　处：《浙江临床医学》2018年第2期326-327,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨输尿管导管在女性膀胱颈口梗阻电切的临床应用价值。方法收集2015年8月至2017年3月52例女性膀胱颈口梗阻电切患者，采用输尿管导管引导下行膀胱颈口电切进行临床评价。结果术前患者最大尿流率（9．94±0．91）ml／s，术后6个月最大尿流率（15．76±1．10）ml／s，差异有统计学意义（P〈0．05）；术前残余尿量（48．31±8．95）ml，术后6个月残余尿量（3．23±4．32）m1，差异有统计学意义（P〈0．05）；术前膀胱最大逼尿肌压力（60．12±10．17）cmH20，术后6个月膀胱最大逼尿肌压力（24．83±352）cmH20。结论输尿管导管引导下电切处理女性膀胱颈口梗阻是一种安全、有效的方法。Objective To probe into the value of clinical application of ureteral catheter for female primary bladder neck obstruction with transurethral resection. Methods 52 cases of female primary bladder neck obstruction in our hospital were collected as the research objects from August 2015 to March 2017. These cases were treated by transurethral resection guided by ureteral catheter. The treatment effect was observed and analyzed. Results The maximal flow rate of pre-operation was （9.94 ± 0.91 ） ml/s. The maximal flow rate was （ 15.76± 1.10 ） ml/s in six month after operation, and the difference was statistically significant （P〈0.05） . The postvoid residual urine volume of pre-operation was （48.31 ± 8.95 ） ml. The postvoid residual urine volume was （ 3.23 ±4.32 ） ml, and the difference was statistically significant （ P〈0.05 ） . The maximal bladder detrusor pressure of pre-operation was （ 60.12 ± 10.17 ） cmH2O. The maximal bladder detmsor pressure in six month after operation was （ 24.83 ± 3.52 ） cmH2O, and the difference was statistically significant （ P〈0.05 ） . Conclusion Transurethral resection guided by ureteral catheter for female primary bladder neck obstruction is a safe and effective method.

关 键 词：输尿管导管 膀胱颈口梗阻若悬河电切 

分 类 号：R699[医药卫生—泌尿科学]