|
尿道处女膜融合症合并尿道肉阜的诊治 附107例报告 |
| |
唐秀英 郭怀球
摘要 目的：探讨尿道处女膜融合症并尿道肉阜的诊断标准及治疗方法。方法：尿道肉阜患者，若同时阴道口至尿道肉阜基底部的最短距离＜0.4 cm，则诊为此病。共诊治107例，采用尿道肉阜缝扎切除，尿道外口阴道口间距延长术，保持尿道外口阴道口间距＞0.5 cm，且使尿道外口的口径＞0.8 cm。结果：痊愈86例(80.3%)，好转17例(16.0%)，无效4例(3.7%)。结论：尿道处女膜融合症常合并尿道肉阜，手术治疗必须同时处理两种病症。
关键词 尿道处女膜融合症 尿道肉阜 尿道外科手术
Diagnosis and treatment of urethro-hymenal fusion complicated
by urethral caruncle (Report of 107 cases)
Tang Xiuying Guo Huaiqiu
(Department of Urology,First Hospital of Yueyang,Hunan,414000)
Abstract Purpose:To seek the ways of diagnosis and treatment of urethro hymenal fusion complicated by urethral caruncle.Methods:The diagnosis criterion of this disease was that the shortest distance between ostium vagina and the base of urethral caruncle was less than 0.4 cm. 107 cases were treated. Urethral caruncle was resected and the distance between urinary external meatus and ostium vagina was lengthened to longer than 0.5 cm,the diameter of urinary external meatus being kept more than 0.8 cm.Results:The symptoms disappeared completely in 86 cases (80.3%), was ineffective in 4 cases (3.7%).Conclusions:Urethro-hymenal fusion is often complicated by urethral caruncle, both must be treated during operation. The operation reported by us was simple and effective.
Key words Urethro-hymenal fusion Urethral caruncle Urinary tract surgery
1986～1999年，笔者采用自行设计的尿道肉阜缝扎切除，尿道外口阴道口间距延长术治疗尿道处女膜融合症合并尿道肉阜107例，获得满意疗效，现报告如下。
1 资料与方法
1.1 临床资料
本组107例，年龄为22～69岁，均已婚，其中22～40岁86例，占80%。住院治疗49例，门诊治疗58例。发病诱因：常在性生活后发病者57例，常在经期发病者25例，因劳累而发者5例，无明显诱因者20例。临床表现：病程1个月～30年，均间断出现膀胱刺激症，排尿10～50次/d，严重者每5～10 min 1次，其中伴肉阜局部少量出血33例，尿道外口疼痛28例，下腹胀痛不适或腰痛者50例。局部检查：尿道肉阜大小0.3～1.5 cm3，基底部较宽，突出于尿道粘膜表面，位于尿道外口下方正中截石位6～9点处，少数可累及尿道外口四周。若从阴道口边缘至尿道肉阜上方的最短距离测量，尿道外口阴道口间距可超出正常值范围，但从阴道口至尿道肉阜基底部计算，均＜0.4 cm。行尿道肉阜切除后，可更清楚地看到尿道外口阴道口间距过短。扩张处女膜试验及压阴道试验〔1〕均为阳性。实验室检查所有病例三大常规检查结果均未见异常。30例作尿培养，72例作KUB，36例作IVU，18例作肾图检查，均无阳性发现。21例白带涂片检查中，2例发现阴道滴虫。膀胱镜检49例有46例发现膀[1] [2] 下一页
上一个医学论文： 成人输尿管囊肿11例报告
下一个医学论文： 肾移植术后医院尿路感染病原菌及危险期研究
|
|
|
|
|
|
|
您现在的位置： 绿色健康网 >> 医学论文 >> 外科论文 >> 正文