CAJ | 학술논문

目的：探讨下尿路梗阻的病因及诊断要点，分析误诊原因。方法：对我院收治2例下尿路梗阻的临床资料进行回顾性分析。结果：2例均表现为排尿困难，外院诊断为神经源性膀胱，就诊我院后经尿动力检查、膀胱镜检查、尿道造影检查后，确诊为女性膀胱颈梗阻与尿道狭窄，予以经尿道膀胱颈电切术和经尿道内冷刀切开术治疗后，病情痊愈出院。结论：下尿路梗阻病因复杂，临床上易误诊，排尿困难应首先考虑下尿路梗阻，及时进行相关检查以尽早诊治。
목적：탐토하뇨로경조적병인급진단요점，분석오진원인。방법：대아원수치2례하뇨로경조적림상자료진행회고성분석。결과：2례균표현위배뇨곤난，외원진단위신경원성방광，취진아원후경뇨동력검사、방광경검사、뇨도조영검사후，학진위녀성방광경경조여뇨도협착，여이경뇨도방광경전절술화경뇨도내냉도절개술치료후，병정전유출원。결론：하뇨로경조병인복잡，림상상역오진，배뇨곤난응수선고필하뇨로경조，급시진행상관검사이진조진치。
Objectives:To investigate the etiology and the diagnosis points of lower urinary tract obstruction and to analyze the causes of misdiagnosis.Methods:The clinical data of our hospital’s two cases of lower urinary tract obstruction were retrospectively analyzed.Results:The two cases of dysuria were diagnosed as neurogenic bladder in other hospital.After the urodynamic,cystoscopy and urethrography examination,the final diagnosis was:female bladder neck obstruction and urethral stricture.After the transurethral resection of the bladder neck and in-ternal urethrotomy with cold knife,the disease was cured.Conclusion:The etiology of lower urinary tract obstruc-tion is complex.Since patients with dysuria are often misdiagnosed in clinic,lower urinary tract obstruction should be considered firstly.Patients should be given relevant examination and treatment in time.