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題名 | 以尿路動力學觀點診斷膀胱頸功能異常及用內視鏡切除手術和藥物治療之比較 |
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作者 | 艾翰銘; 劉青鵬; 郝訪渭; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 21:4 1988.07[民77.07] |
頁次 | 頁449-455 |
分類號 | 415.802 |
關鍵詞 | 尿路動力學; 膀胱頸功能異常; 內視鏡切除手術; 藥物治療; |
語文 | 中文(Chinese) |
中文摘要 | 膀胱在人體內是負責收集及排出尿液的器官,所以一旦收集與排出功能發生異常的時候,必須針對下泌尿道靜態及動態兩方面做仔細的評估。本篇介紹一個方法能同時按查膀胱壓力與尿流速度並觀看解尿時膀胱尿道的情形(cine/pressure/flow/cystourethrography),又可以目視檢查遠端及近端尿道括約肌的機轉,從其中我們可以發現,膀胱出口是否阻塞而造成病人的解尿困難;治療的原則,我們將病人分為兩組,一是不生育的年紀較大者,另一是必須生育的年輕者;前者以膀胱頸破壞手術(BNI)來治療,後者以藥物來治療;並分析比較兩種治療方法的效果。 |
英文摘要 | The evaluation of urodynamic function by symptomatology, clinical examination, static radiography and endoscopy is considerably less reliable. Since the establishment of our urodynamic clinic we have reviewed 306 patients with dysfunctional voiding; synchronous cine/pressure/flow cystography has been used in the 38 of these cases. This discussion is an attempt to stimmarize some aspects of our present concept related to problems of bladder neck dysfunction and outflow impairment. In considering bladder outflow obstruction we must seriously question some commonly hekd thoughts relating to the significance of various aspects: symptomatology; the abscence of post -voiding residual urine, the endoscopic evaluation of the bladder neck, trabeculation of the bladder, the actual size of the prostate. . . etc. Bladder neck obstruction was previously treated by endoscopic loop resection or YU -plasty, both quite often resulting in retrograde ejaculation and secondary bladder neck contracture. We routinely treat this condition by endoscopic diathermy incision. Patients who are unwilling to receive this precedure or are in the younger age group have alternative way to receive phenoxybenzamine. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。