经尿道电切术治疗女性膀胱颈部梗阻

目的　探讨经尿道电切术治疗女性膀胱颈部梗阻的疗效。方法　采用经尿道电切术治疗女性膀胱颈部梗阻 9例 ,并同时电切治疗膀胱、尿道伴有的其他病灶。随访 5～ 15个月。结果　术后生活质量指数、排尿症状评分、最大尿流率 (Qmax) ,平均尿流率 (AFR)、尿量均得到显著改善 ,无严重并发症发生。随访期间疗效稳定 ,上述指标无显著变化 ,膀胱镜复查未有异常发现。结论　经尿道电切术治疗女性膀胱颈部梗阻 ,疗效稳定、确切。同时处理伴发的病灶效果更好。

Transurethral Electric Resection of Female Bladder Neck Obstruction

Objective To evaluate the application of transurethral electric resection of female bladder neck obstruction.Method From May 2000 to Jun 2001,9 cases of female bladder neck obstruction were treated by ransurethral electric resection,other accompanying lesions at bladder or ureter were also removed at the same time and following up time was between 5 to 15 months after operation.Result Postoperatively,the IPSS score,QOL score,Qmax,AFR and voiding volume of 9 cases were significantly improved,no serious complication was found.During following up,above indices were not significantly changed,the curative effect was stable and cystoscopic examination were normal.Conclusion To treat female bladder neck obstruction by transurethral electric resection can get stable and effective medical results,what's more,we could effectively reduce the relapse if take care to remove accompanying lesions.