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子宫全切术可造成无力性排尿症状,常见病因有盆神经损伤、术后膀胱改变、术后不适当的膀胱引流及尿路感染。作者回顾性研究了98例子宫切除后膀胱机能障碍的患者。患者术后均有下尿路症状,但无神经学异常。患者术后均行尿流动力学检查,排尿时膀胱尿道电影摄影术及测压,反复尿化验及培养。患者依原道功能改变不同分为三组。A组占60%,有稳定的压力性尿失禁;B组占27.8%。有高压逼尿肌不稳定;C组占12.2%,有排尿功能障碍。治疗方法及结果如下:A组9例轻度尿失禁者
Hysterectomy can cause inability to urinate symptoms, common causes of pelvic nerve injury, postoperative bladder changes, postoperative inappropriate bladder drainage and urinary tract infection. The authors retrospectively studied 98 patients with bladder dysfunction after hysterectomy. Patients had lower urinary tract symptoms after surgery, but no neurological abnormalities. Patients underwent urodynamics postoperative urination urinary bladder and urinary tract photography and manometry, repeated urine tests and culture. Patients according to the original change in function is divided into three groups. Group A accounted for 60%, a stable stress urinary incontinence; Group B accounted for 27.8%. High pressure detrusor instability; C group accounted for 12.2%, micturition dysfunction. Treatment methods and results are as follows: A group of 9 patients with mild urinary incontinence