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目的为探讨女性膀胱颈梗阻的诊断与治疗,提高女性膀胱颈梗阻的诊治水平。方法对29例女性膀胱颈梗阻患者的诊治情况进行回顾性分析。结果29例行经尿道膀胱颈后唇电切术,术后无残余尿,临床症状消失效果满意,无尿失禁及尿瘘发生。结论膀胱尿道镜结合尿动力学检查是该病可靠的诊断手段,经尿道膀胱颈部后唇电切术是最佳治疗方法。
Objective To investigate the diagnosis and treatment of female bladder neck obstruction and to improve the diagnosis and treatment of female bladder neck obstruction. Methods The diagnosis and treatment of 29 cases of female bladder neck obstruction were retrospectively analyzed. Results Twenty-nine patients underwent transurethral resection of the bladder neck with posterior lip resection. No postoperative residual urine was found and the clinical symptoms disappeared satisfactorily. Urinary incontinence and urinary fistula occurred. Conclusions Bladder urethra combined with urodynamic examination is a reliable diagnostic method for this disease. Transurethral resection of the posterior lip of the bladder neck is the best treatment.