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目的探讨经尿道电切联合针状电极膀胱颈切开术治疗膀胱颈挛缩的效果。方法对36例确诊为膀胱颈挛缩的患者行经尿道电切联合针状电极膀胱颈切开术治疗。结果术后34例排尿通畅,尿线粗;2例仍有轻度排尿困难症状,给予α-受体阻断剂口服和尿道扩张术后,症状明显减轻。所有患者均无继发出血、尿道狭窄、尿失禁、膀胱直肠瘘等并发症发生。对30例进行平均12个月随访:最大尿流率(Qma)x为17.5～25.4 ml/s,平均20.1ml/s;无膀胱颈挛缩复发;排尿后B超测残余尿量0～40ml,平均20ml。结论经尿道电切联合针状电极膀胱颈切开术治疗膀胱颈挛缩效果确切,复发率低,应将其作为膀胱颈挛缩的首选治疗方法。
Objective To investigate the effect of transurethral resection combined with needle-electrode bladder neck incision in the treatment of bladder neck contracture. Methods Thirty - six patients with bladder neck contracture were treated by transurethral resection of needle and bladder neck incision. Results 34 cases of postoperative urination unobstructed, thick urine; 2 cases were still mild dysuria symptoms, given α-blocker oral and urethral dilatation, the symptoms were significantly reduced. All patients had no secondary hemorrhage, urethral stricture, urinary incontinence, bladder and other complications of rectal fistula occurred. Thirty patients were followed up for an average of 12 months. The Qmax x was 17.5-25.4 ml / s with an average of 20.1 ml / s. No recurrent bladder neck contracture was found. Average 20ml. Conclusions Transurethral resection combined with needle-electrode bladder neck incision is effective in treating bladder neck contracture and has a low recurrence rate. It should be the first choice of bladder neck contracture.