[后囊切除术在膀胱颈疾病治疗中的效用]
[Usefulness of posterior capsulectomy in the treatment of bladder neck disease].
作者信息
Romero Tenorio M, Flores Ortiz J, Arroyo Maestre J M, Ramírez Chamorro F, Flores Ginés J
机构信息
Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz.
出版信息
Actas Urol Esp. 1998 Nov-Dec;22(10):847-52.
RATIONALE
Presentation of 12-year experience accrued in the surgical treatment of the acquired bladder neck disease. Based on Riches' experience (1961), posterior capsulotomy, although exceptional in terms of indication, was effective in the treatment of 26 patients with early failure of standard endoscopic techniques.
MATERIALS AND METHOD
Over a 12-year period, 945 prostatectomies were entered in a protocol, 305 (32.2%) open surgery and 640 (67.8%) transurethral resections. Incidence of sclerosis was 5.03% (48 patients). Treatment of second group with TUR and/or cervicotomy failed in 26 (45-58%) patients. Posterior capsulotomy was effective in 100% patients.
RESULTS
Mean follow-up has been productive, and exceeds 4 years based on clinical, radiologic, endoscopic and urodynamic parameters.
原理
介绍在获得性膀胱颈疾病外科治疗中积累的12年经验。基于里奇（1961年）的经验，后囊切开术尽管在适应症方面较为特殊，但对26例标准内镜技术早期失败的患者治疗有效。
材料与方法
在12年期间，945例前列腺切除术被纳入方案，其中305例（32.2%）为开放手术，640例（67.8%）为经尿道切除术。硬化发生率为5.03%（48例患者）。第二组采用经尿道切除术和/或宫颈切开术治疗，26例（45 - 58%）患者治疗失败。后囊切开术对100%的患者有效。
结果
基于临床、放射学、内镜和尿动力学参数，平均随访结果良好，超过4年。
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