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膀胱颈切开术的适应症及价值

Indication and value of bladder neck incision.

作者信息

Jonas U, Petri E, Hohenfellner R

出版信息

Urol Int. 1979;34(4):260-5. doi: 10.1159/000280271.

DOI:10.1159/000280271
PMID:473431
Abstract

200 bladder neck incisions in 172 patients with mechanical or functional outlet obstruction of neurogenic and nonneurogenic etiology are reported. The incision was performed with an electric cautery needle at 5--7--12 o'clock. Parameters of success were, beside the subjective reports, residual urine, urinary flow and a sophisticated urodynamic study. 71% of the women and 76% of the men showed improvement or relief of symptoms. Retrograde ejaculation was observed in only 7% of the men; the rate of complications was 2.5%. Despite limited experience and the lack of long-term follow-up, this technique is recommended for routine use.

摘要

报告了对172例因神经源性和非神经源性病因导致机械性或功能性出口梗阻患者进行的200次膀胱颈切开术。切开术使用电灼针在5点、7点和12点位置进行。除主观报告外,成功的参数还包括残余尿量、尿流率以及复杂的尿动力学研究。71%的女性和76%的男性症状得到改善或缓解。仅7%的男性出现逆行射精;并发症发生率为2.5%。尽管经验有限且缺乏长期随访,但仍推荐将该技术用于常规治疗。

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Indication and value of bladder neck incision.膀胱颈切开术的适应症及价值
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引用本文的文献

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Internal Urethrotomy in Treatment of Female with Anatomical Bladder Outlet Obstruction.经尿道内切开术治疗女性解剖性膀胱出口梗阻
Adv Biomed Res. 2019 May 27;8:36. doi: 10.4103/abr.abr_200_18. eCollection 2019.
2
Necessity of routine histopathological evaluation subsequent to bladder neck contracture resection.膀胱颈挛缩切除术后进行常规组织病理学评估的必要性。
Cent European J Urol. 2016;69(4):353-357. doi: 10.5173/ceju.2016.874. Epub 2016 Nov 30.
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The T-plasty: a modified YV-plasty for highly recurrent bladder neck contracture after transurethral surgery for benign hyperplasia of the prostate: clinical outcome and patient satisfaction.
T形整形术:一种改良的Y-V整形术,用于经尿道前列腺良性增生手术后高度复发性膀胱颈挛缩:临床结果和患者满意度。
World J Urol. 2016 Oct;34(10):1437-42. doi: 10.1007/s00345-016-1779-5. Epub 2016 Feb 12.
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Transurethral bladder neck incision in women with primary bladder neck obstruction.经尿道膀胱颈切开术治疗女性原发性膀胱颈梗阻
Wien Klin Wochenschr. 2014 Apr;126(7-8):217-22. doi: 10.1007/s00508-014-0502-z. Epub 2014 Feb 5.
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Evaluation and management of outlet obstruction in women without anatomical abnormalities on physical exam or cystoscopy.评估和管理体格检查或膀胱镜检查无解剖异常的女性的出口梗阻。
Curr Urol Rep. 2012 Oct;13(5):356-62. doi: 10.1007/s11934-012-0267-8.