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目的:探讨经尿道前列腺电切术(TURP)后膀胱颈挛缩(BNC)的防治。方法:回顾性分析68例BNC患者的诊断和治疗临床资料。结果:经尿道行膀胱颈后唇切除,用冷刀切开膀胱颈部,再换用电切刀切除瘢痕组织。术后平均随访36个月,一次手术治愈60例(89%);复发8例(11%),经再次或三次手术治愈。结论:腔内手术治疗TURP术后BNC是一种安全、有效的方法。
Objective: To investigate the prevention and treatment of bladder neck contracture (BNC) after transurethral resection of the prostate (TURP). Methods: The clinical data of 68 patients with BNC were retrospectively analyzed. Results: Transurethral bladder neck resection of the posterior lip, with a cold knife to cut the bladder neck, and then replaced with an electric knife to remove scar tissue. After a mean follow-up of 36 months, 60 cases (89%) were cured by one operation and 8 cases (11%) were cured by recurrence or three surgeries. Conclusion: Endovascular treatment of BNC after TURP is a safe and effective method.