电化学治疗膀胱颈硬化症的临床研究

目的探讨膀胱颈硬化症患者应用电化学治疗的临床效果。方法对宜春市人民医院收治的36例膀胱颈硬化症患者，经临床症状、尿流动力学和膀胱镜检等检查确诊后，均采用EASY一100A电化学前列腺增生治疗仪进行电化学治疗。观察患者术后1、3及6个月的尿流率、残余尿及并发症的发生情况。结果36例患者术后5—7d拔除导尿管，34例拔管后排尿通畅，2例出现尿潴留，经重新留置导尿1周再拔除后排尿通畅。所有患者术后无出血、尿失禁等并发症。术后l、3及6个月的最大尿流率分别为（10．4±1．6）、（11．2±1．8）及（11．7±1．3）mL·s-1，与术前（4．9±1．7）mL·s-1比较均有明显改善（均P〈0．05）。术后l、3及6个月残余尿量分别为（38±11）、（35±15）及（26±13）mL，与术前（80±12）mL比较均明显减少（均P〈0．05）。结论对于高危膀胱颈硬化症患者经电化学治疗是一种安全、经济而有效的治疗选择。

Electrochemical Treatment of Bladder Neck Sclerosis

Objective To evaluate the clinical effect of electrochemical treatment on bladder neck sclerosis. Methods A retrospective analysis was carried out on 36 patients with bladder neck sclerosis confirmed by clinical symptoms, urodynamics and cystoscopy who underwent electrochemical treatment with EASY-100A benign prostatic hyperplasia treatment apparatus in the people＇s hospital of Yichun. Urinary flow rate, residual urine and complications were observed 1, 3 and 6 months after treatment. Results The urethral catheters were removed 5-7 days after treatment. Among the 36 patients, 34 had unobstructed urination, and 2 had urinary retention after removal of urethral catheters. The two cases of urinary retention recovered urination after recatheterization for 1 week. No postoperative bleeding, urinary incontinence and other complications occurred in all patients. The maximum flow rate was （10.4±1.6）, （11.2±1.8）, and （11.7±1.3） ml.s-1, 3 and 6 months after operation, respectively. The residual urine volume was （38＋11）, （35±15）and （26±13） mL 1, 3 months and 6 months after operation, respectively. Both the maximum flow rate and residual urine volume were significantly improved after operation, compared with preoperative values （4.9±1.7） ml-s-1 and （80±12） mL, respectively; P〈0.05]. Conclusion Electrochemical treatment is safe, economic and effective for high- risk bladder neck sclerosis.