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目的 探讨老年膀胱颈硬化症的诊断方法和比较经尿道电切术、开放性手术的治疗效果。方法对１９８４年５月～１９９９年 ５月经手术治疗的老年膀胱颈硬化症进行回顾性分析，以手术前后残余尿、尿流率、术后留置导尿时间、患者出院时间为评价指标。结果 ２２例开放性手术，１９例能自行排尿，其中３例术后仍有排尿困难。术后３ｗ１７例复查尿流率为６．９～２３．６ ｍｌ／ｓ，１９例复查残余尿，其 中 １２例无残余尿，４例残余尿量 １５～２０ ｍｌ，３例残余尿量 １００～１５０ ｍｌ。 ４０例经尿道电切术，术后排尿均通畅，术后 ３ ｗ３１例复查尿流率 为 １７． ２～２４． ６ ｍｌ／ｓ，３６例复查残余尿，其中３２例无残余尿，４例残余尿量１０～１５ ｍｌ。开放性手术在留置导尿时间、患者出院时间上均较 电切术为长。结论膀胱尿道镜是诊断膀胱颈硬化症的最可靠方法，经尿道膀胱颈电切术优于开放性手术。
Objective To investigate the diagnostic methods of elderly patients with bladder neck sclerosis and compare the efficacy of transurethral resection and open surgery. Methods Retrospective analysis of the surgically treated elderly patients with bladder neck sclerosis from May 1984 to May 1999 were conducted. The residual urine and urinary flow rate before and after surgery, the catheterization time after surgery, and the discharge time of patients were evaluated. Results Twenty-two cases underwent open surgery and 19 cases were able to urinate on their own. In 3 cases, there was still dysuria after operation. Postoperative 3 weeks after the review of 17 cases of urine flow rate of 6.9 ~ 23.6 ml / s, 19 cases of residual urine review, of which 12 cases without residual urine, 4 cases of residual urine output 15 ~ 20 ml, 3 cases of residual urine output 100 ~ 150 ml. 40 cases of transurethral resection, postoperative urination were smooth, 3 w31 after the review of urine flow rate was 17. 2 ~ 24. 6 ml / s, 36 cases of residual urine, of which 32 cases without residual urine, 4 cases of residual urine volume 10 ~ 15 ml. Open surgery indwelling catheterization time, patients discharged more time than the electrosurgical for a long time. Conclusions Bladder urethra is the most reliable method for the diagnosis of bladder neck sclerosis. Transurethral resection of bladder neck is superior to open surgery.