摘要
目的 评价腔内手术治疗膀胱颈部梗阻 (BNO)的长期疗效。 方法 采用经尿道膀胱颈部切除术 (TURN)治疗BNO 44例。 结果 44例平均随访 48个月。 1次手术治愈 3 3例 ;复发 4例 ,经再次或 3次手术治愈 ;无效 7例。总有效率 84% ,复发率 11%。 结论 TURN治疗BNO远期疗效满意 ,伴慢性前列腺炎及女性BNO者手术应慎重 。
Objective To evaluate endoscopic management of bladder neck obstruction (BNO). Methods 44 patients suffering from BNO have been treated by transurethral resection of bladder neck (TURN). Results All patients have been followed up for 6～84 months with a mean of 48 months.The success rate has been 84%.Recurrence was observed in 4 (11%) for all of which TURN was carried out twice or three times with success.The causes of the 7 failures were neurogenic bladder, detrusor-extra-sphincter dyssynergy, BNO with chronic prostatitis (CP) or BNO with chronic cystitis in female patients. Conclusions Endoscopic management is a safe and efficient treatment for BNO.Careful consideration should be undertaken in case there is CP or for female patients.Postoperative adjunctive hormone supplement therapy and long-period urethral dilatation might be needed for preventing recurrence.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2003年第2期110-111,共2页
Chinese Journal of Urology
