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目的探讨女性膀胱颈梗阻的诊断和治疗。方法对25例女性膀胱颈梗阻患者行尿流率检查和膀胱镜检查,对其中17例行等离子经尿道膀胱颈电切术(PK-TURBN),8例行非手术治疗。结果17例行PK-TURBN治疗者术后无明显剩余尿,15例临床症状消失。8例非手术治疗者经定期尿道扩张及药物治疗,效果满意。结论尿流率检查是客观评价女性膀胱颈排尿状况的有效指标,PK-TURBN是治疗女性膀胱颈梗阻的有效方法。
Objective To investigate the diagnosis and treatment of female bladder neck obstruction. Methods Twenty-five female bladder neck obstruction patients underwent urinary flow rate examination and cystoscopy. Among them, 17 cases underwent plasma transurethral resection of bladder neck (PK-TURBN) and 8 cases underwent non-surgical treatment. Results 17 patients treated with PK-TURBN had no significant postoperative residual urine, 15 cases of clinical symptoms disappeared. 8 cases of non-surgical treatment by regular urethral dilation and drug treatment, the results satisfactory. Conclusion Urine flow rate test is an effective indicator to evaluate bladder bladder neck urination in an objective way. PK-TURBN is an effective method to treat female bladder neck obstruction.