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流产后膀胱子宫内膜异位症的手术治疗及术后膀胱功能

Surgical treatment of post abortum endometriosis of the bladder and postoperative bladder function.

作者信息

Fianu S, Ingelman-Sundberg A, Nasiell K, Rosén J, Václavinková V

出版信息

Scand J Urol Nephrol. 1980;14(2):151-5. doi: 10.3109/00365598009179553.

DOI:10.3109/00365598009179553
PMID:7209418
Abstract

During the years 1953-1967, 17 women with endometriosis of the urinary bladder were treated with extirpation of the endometrial tissue, including partial or total resection of the trigone. In all cases the endometriosis had followed vaginal hysterotomy for legal abortion. Urethrocystoscopy was performed and the residual urine and bladder capacity were measured in all the patients one month and one year after the bladder operation. At follow-up in 1978 only 4 of the 17 women were available for urodynamic studies. Combined urethrocystometry, recording of the urethral pressure profile and measurement of the maximal urethral pressure in supine and standing positions were performed in these four patients, using the technique of Ulmsten et al. In all cases in the series, including those with trigone extirpation, all the tested parameters were normal. The writers therefore conclude that even total trigone resection can be done without disturbance to the bladder function.

摘要

在1953年至1967年期间,对17例患有膀胱子宫内膜异位症的女性进行了子宫内膜组织切除治疗,包括三角区部分或全部切除。所有病例的子宫内膜异位症均继发于合法堕胎后的阴道子宫切开术。对所有患者在膀胱手术后1个月和1年进行了尿道膀胱镜检查,并测量了残余尿量和膀胱容量。1978年随访时,17名女性中只有4名可进行尿动力学研究。使用乌尔姆斯特恩等人的技术,对这4名患者进行了联合尿道膀胱测压、尿道压力曲线记录以及仰卧位和站立位最大尿道压力测量。在该系列的所有病例中,包括三角区切除的病例,所有测试参数均正常。因此,作者得出结论,即使进行全三角区切除,也不会干扰膀胱功能。

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