论文部分内容阅读
女性膀胱颈梗阻不常见,症状常含糊不清,类似尿道综合征。女性膀胱颈切除或切开并非新的手术,但因疗效不佳,且有并发症而未被广泛接受。作者为10例膀胱颈梗阻患者行膀胱颈切开术,疗效满意。诊断标准尿流率<15cc/s,膀胱测压无逼尿朋无力,残尿>100cc,逼尿肌压力升高。膀胱镜可见膀胱颈抬高伴小梁形成,无尿道狭窄。治疗膀胱颈切开术——术中于尿道中段检查膀胱颈,以确定切开和停止的适宜部位。用电切镜及电刀将膀胱颈12点处切开,约0.5cm长、0.5cm深。疗效 10例中7例获极好改善,其中复查5例,
Female bladder neck obstruction is not common, the symptoms often vague, similar to urethral syndrome. Female bladder neck resection or incision is not a new surgery, but because of poor efficacy, and complications have not been widely accepted. The author was performed in 10 cases of bladder neck obstruction bladder neck incision, the effect is satisfactory. Diagnostic standard uroflow rate <15cc / s, urinary bladder urinary pressure without disabilities, residual urine> 100cc, detrusor pressure. Cystoscopy showed bladder neck elevation with trabecular formation, no urethral stricture. Treatment of bladder neck incision - Surgery in the middle of the urethra to check the bladder neck, to determine the appropriate site of incision and stop. Use electrical resection and electric knife to cut the bladder neck at 12 o’clock, about 0.5cm long, 0.5cm deep. 7 cases of 10 cases were excellent results, including 5 cases of review,