1470nm激光经尿道改良膀胱颈切开术治疗女性膀胱颈梗阻.docxVIP

1470nm激光经尿道改良膀胱颈切开术治疗女性膀胱颈梗阻

郎健戴迪朱章基徐弘哲陶婷婷段跃

[关键词]?膀胱颈梗阻；经尿道膀胱颈切开术；1470nm激光

[中图分类号]?R694????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.03.013

1470nm?laser?transurethral?modified?bladder?neck?incision?for?the?treatment?of?female?bladder?neck?obstruction

LANG?Jian1，?DAI?Di1，?ZHU?Zhangji1，?XU?Hongzhe1，?TAO?Tingting2，?DUAN?Yue2

1.The?Second?Clinical?School，?Zhejiang?Chinese?Medicine?University，?Hangzhou?310053，?Zhejiang，?China;?2.Department?of?Urology，?the?Second?Affiliated?Hospital?of?Zhejiang?Chinese?Medicine?University，?Hangzhou?310005，?Zhejiang，?China

[Abstract]?Objective?To?investigate?the?treatment?of?female?bladder?neck?obstruction?by?1470nm?laser?transurethral?modifiednbsp;enlarged?female?bladder?neck?obstruction?（FBNO）.?Methods?The?clinical?data?of?34?patients?with?FBNO?from?January?2019?to?November?2021?were?retrospectively?analyzed.?The?patient?underwent?a?1470nm?laser?transurethral?modified?enlarged?bladder?neck?incision.?The?1470nm?laser?was?used?to?vaporise?the?bladder?neck?at?12?o’clock?（lithotomy），?and?the?incision?site?was?expanded?along?the?bladder?neck?to?9?o’clock?and?3?o’clock?to?form?a?semi-circular?surgical?wound.?The?patients?were?followed?up?for?complications，?scored?form?of?Bristol?female?lower?urinary?tract?symptoms?questionnaire?（BFLUTS-SF）?urination?symptom?subscale，?quality?of?life?（QoL）?score?and?the?maximum?urinary?flow?rate?（Qmax），?detrusor?pressure?at?maximum?flow?rate?（PdetQmax），?post-void?residual?（PVR）?were?reviewed?at?1，?4，?and?10?months?after?operation.?Results?After?10?months?of?follow-up，?the?subjective?indexes?of?BFLUTS-SF?and?QoL?scores?were?significantly?improved?compared?with?those?before?operation?（P0.001），?and?the?objective?indexes?of?Qmax，?PdetQmax，?and?PVR?were?significantly?improved?compared?with?those?before?operation?（P0.001）.?Two?patients?had?mild?urgency?urinary?incontinence?and?urinary?tract?infection?symptoms?half?a?month?after?operation，?and?the?symptoms?were?improved?after?anti-infection?and?pelvic?fl