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目的探讨女性膀胱颈硬化症采用汽化电切治疗临床效果。方法选择我院2009年5月至2011年5月收治的膀胱硬化症的女性患者65例,采用汽化电切术治疗,现对其临床资料进行回顾性分析。结果本组65例患者中,临床症状明显改善64例,占98.5%。1例排尿轻度不畅,对症处理后缓解。无膀胱阴道瘘和尿失禁发生,均行5～12个月的随访,尿流量为10.3～22.5ml/s,平均(17.2±2.1)ml/s。无症状复发。结论女性膀胱颈硬化症采用经尿道膀胱颈汽化电切术治疗,手术操作相对简单,具有一定安全性,临床效果理想,创伤较小的优点,值得在临床推广应用。
Objective To investigate the clinical effect of vaporization electrosurgical treatment of female bladder neck sclerosis. Methods Sixty-five female patients with bladder sclerosis who were treated in our hospital from May 2009 to May 2011 were retrospectively analyzed by using electrovaporization. Results In this group of 65 patients, the clinical symptoms improved significantly in 64 cases, accounting for 98.5%. 1 case of mild voiding dyspepsia, relieve symptomatic treatment. No bladder vaginal fistula and urinary incontinence occurred. The patients were followed up for 5 to 12 months. Urinary flow was 10.3 ~ 22.5ml / s, with an average of (17.2 ± 2.1) ml / s. Asymptomatic recurrence. Conclusion Female patients with bladder neck sclerosis by transurethral vaporization of the bladder neck surgery, the operation is relatively simple, with a certain safety, clinical results are ideal, the advantages of smaller trauma, it is worth in the clinical application.