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目的 探讨经尿道内括约肌切断术治疗逼尿肌无反射神经原性膀胱手术范围与疗效的关系。方法 分别进行单侧内括约肌切断和双侧内括约肌切断 ,术后 3个月及 1~ 5年随访分析结果。结果 双侧内括约肌切断的优良率 (92 % )明显高于单侧切断者 (6 0 % ) (P <0 0 5 )。结论 应行双侧内括约肌切断。手术指征应为症状明显和 /或残余尿量 >5 0ml。尿流动力学检查应做为常规检查
Objective To investigate the relationship between transurethral sphincterotomy and non-reflexive neurogenic bladder surgery for detrusor effect. Methods Unilateral sphincterotomy and bilateral internal sphincterotomy were performed respectively. The follow-up results at 3 months and 1 to 5 years after operation were analyzed. Results The excellent rate of bilateral internal sphincterotomy (92%) was significantly higher than that of unilateral excision (60%) (P <0.05). Conclusion The bilateral sphincter should be cut off. Surgical indications should be obvious symptoms and / or residual urine volume> 50ml. Urodynamic studies should be routinely checked