| 经尿道双极等离子电切术治疗女性膀胱颈梗阻(附18例临床分析) |
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| 引用本文： | 杨湘平,陈善和,周海波,龚任余.经尿道双极等离子电切术治疗女性膀胱颈梗阻(附18例临床分析)[J].中国现代手术学杂志,2008,12(6):454-456. |
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| 作者姓名： | 杨湘平 陈善和 周海波 龚任余 |
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| 作者单位： | 湖南省隆回县人民医院泌尿外科,邵阳,422200 |
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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。方法采用经尿道双极等离子膀胱颈电切术治疗18例女性膀胱颈梗阻患者。结果平均手术时间16(11～48)min,失血<10ml,无水中毒及尿失禁发生。术后病理报告为膀胱颈粘膜下纤维组织增生伴玻璃样变性,部分平滑肌变性增生及粘膜下炎性细胞浸润。本组18例患者均获随访,平均12(4～23)个月,治疗后生活质量评分由4.2±1.1降至1.7±0.5(P<0.01),最大尿流率由(3.8±2.9)ml/s升至(16.0±6.4)ml/s(P<0.01),残余尿量由(355.5±196.5)ml降至(34.5±18.9)ml(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有效的腔内治疗方法。
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| 关 键 词： | 膀胱颈梗阻 经尿道电切术 |
Transurethral Plasma Kinetic Resection for Female Bladder Neck Obstruction:18 Cases Analysis |
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| YANG Xiang-ping,CHEN Shan-he,ZHOU Hai-bo,GONG Ren-yu.Transurethral Plasma Kinetic Resection for Female Bladder Neck Obstruction:18 Cases Analysis[J].Chinese Journal of Modern Operative Surgery,2008,12(6):454-456. |
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| Authors: | YANG Xiang-ping CHEN Shan-he ZHOU Hai-bo GONG Ren-yu |
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| Institution: | YANG Xiang-ping,CHEN Shan-he,ZHOU Hai-bo,GONG Ren-yu (Department of Urology,People\'s Hospital of Longhui,Shaoyang 422200,Hunan,China) |
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| Abstract: | Objective To discuss the effect of transurethral bipolar plasma kinetic resection in treatment of female bladder neck obstruction. Method 18 women suffered bladder neck obstruction were treated by transurethral bladder neck resection. Results The operative duration was 11 to 48 minutes (16 minutes,averagely); the blood loss was less than 10 ml. No overhydration or urinary incontinence occurred. The pathology of bladder neck showed fibroustissue hyperplasia of submucosa,concomitant degeneration and chronic i... |
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| Keywords: | bladder neck obstruction transurethral resection |
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