| 经尿道双极等离子电切术治疗女性膀胱颈梗阻的临床分析 |
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| 引用本文： | 张宗亮,周荣祥,綦海燕,李墨农,吴帅,王鹏.经尿道双极等离子电切术治疗女性膀胱颈梗阻的临床分析[J].中华腔镜泌尿外科杂志（电子版）,2011,5(1):55-57. |
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| 作者姓名： | 张宗亮 周荣祥 綦海燕 李墨农 吴帅 王鹏 |
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| 作者单位： | 青岛大学医学院附属市立医院泌尿外科,青岛,266011 |
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| 摘 要： | 目的探讨经尿道双极等离子电切术治疗女性膀胱颈梗阻的疗效。方法采用经尿道膀胱颈电切术(TURBN)加钩状电极颈口切开治疗63例女性膀胱颈梗阻。术前均行尿流动力学检查和膀胱镜检查,45例行经尿道膀胱颈后唇切除术,18例行经尿道膀胱颈后唇切除术加膀胱颈12点位纵行切开术。结果平均手术时间15(10～46)min,失血<10ml,无水中毒及尿失禁发生。术后病理报告为膀胱颈黏膜下纤维组织增生伴玻璃样变性,部分平滑肌变性增生及黏膜下炎性细胞浸润。本组63例均获随访,平均13.5(1～24)个月,治疗后生活质量评分由4.3±1.2降至1.6±0.5(P<0.01),最大尿流率由4.8±2.6ml/s升至19.2±5.8ml/s(P<0.01),残余尿量由320.5±168.5ml降至26.3±16.4ml(P<0.01)。结论经尿道双极等离子电切术是治疗女性膀胱颈梗阻的有效方法。
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| 关 键 词： | 膀胱颈梗阻 经尿道电切术 双极等离子 女性 |
Transurethral plasma kinetic resection for female bladder neck obstruction |
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| Authors: | ZHANG Zong-liang ZHOU Rong-xiang QI Hai-yan LI Mo-nong WU Shuai WANG Peng |
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| Institution: | ZHANG Zong-liang,ZHOU Rong-xiang,QI Hai-yan,LI Mo-nong,WU Shuai,WANG Peng.Department of Urology,Qingdao Municipule Hospital,Qingdao 266011,China |
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| Abstract: | Objective To explore the effect of transurethral bipolar plasma kinetic resection in the treatment of female bladder neck obstruction.Method Sixty-three female patients suffered bladder neck obstruction who were treated by transurethral resection and discission of bladder neck.All the patients underwent urodynamic study and cystoscopy.Fourty-five cases received transurethral resection of posterior lip of bladder neck.Eighteen received former described procedure plus microtubule section at 12 clock.Results T... |
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| Keywords: | Bladder neck obstruction Transurethral resection Plasma kinetic resection Female |
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