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目的报告女性膀胱颈纤维化导致膀胱出口梗阻(BOO)的诊断治疗体会。方法膀胱颈纤维化导致BOO女性病例18例,经尿流动力学及膀胱镜检确诊,均行经尿道膀胱颈部分切除术,并联合药物治疗。结果随访2～15个月,排尿情况均有改善,最大尿流率>15ml/s,国际前列腺症状评分(IP-SS)(5.2±1.6)。病理报告显示所有病例膀胱颈组织纤维增生,其中合并慢性炎症改变10例。结论根据临床症状、尿流动力学检查及膀胱镜检可以明确诊断膀胱颈纤维化导致的BOO,经尿道膀胱颈部分切除术可以取得良好的治疗效果。
Objective To report the diagnosis and treatment of bladder outlet obstruction (BOO) caused by female bladder neck fibrosis. Methods Bladder neck fibrosis led to 18 cases of BOO women, diagnosed by urodynamics and cystoscopy, transurethral resection of the bladder neck, and combined with drug treatment. Results The follow-up of 2 to 15 months showed an improvement in micturition with a maximum uroflow rate> 15ml / s and an International Prostate Symptom Score (IP-SS) of 5.2 ± 1.6. Pathological reports showed all cases of bladder neck fibrosis, which combined with chronic inflammation in 10 cases. Conclusion According to the clinical symptoms, urodynamics and cystoscopy can diagnose bladder fibrosis caused by BOO, transurethral resection of the bladder neck can achieve good therapeutic effect.