论文部分内容阅读
我院自1993年～1997年间共收治女性尿道综合征50例,经临床治疗及随访观察,疗效满意,现报告如下;1 临床资料1.1 一般资料:本组患者年龄15～65岁,平均年龄39岁.已婚46例,未婚4例.有尿频、尿急45例,排尿困难32例,夜尿每晚>3次28例,腰骶部酸胀不适15例.查尿常规正常48例,中断尿培养10例均正常.膀胱B超28例,静脉肾盂造影9例报告均正常.残余尿测定18例,<50ml者12例,膀胱镜检查15例均未发现异常.尿道外口检查12例,有6例尿道口阴道口间距<3mm.病理分类:尿道肉阜6例,尿道外口狭窄4例,尿道远端缩窄23例,尿道处女膜融合6例,原因不明11例.1.2 治疗方法:本组根据病情分别采用药物、器械扩张及手术三种方法治疗.对初诊病例常规选用泌尿灵、普鲁苯辛、安定等药物口服1周,有20例症状明显好转.18例经药物治疗疗效差,加用尿道扩张术治疗,尿道扩张术可在局麻及非麻醉下进行,扩
The hospital from 1993 to 1997 were treated 50 cases of female urethral syndrome, clinical treatment and follow-up observation, the effect is satisfactory, the report is as follows; 1 Clinical data 1.1 General information: The patients aged 15 to 65 years, mean age 39 Aged 46 married, unmarried 4. Urinary frequency, urgency 45 cases, 32 cases of dysuria, night nocturnal> 3 times in 28 cases, lumbosacral sore discomfort in 15. Urine routine examination of 48 cases of normal, Urine culture were interrupted in 10 cases were normal.Bucosal B-28 cases, intravenous pyelography in 9 cases were normal.The residual urine test in 18 cases, <50ml in 12 cases, cystoscopy in 15 cases were found no abnormalities. Cases, 6 cases of urethral orifice vaginal orifice spacing <3mm.Pathological classification: urethral caruncle in 6 cases, urethral stenosis in 4 cases, urethral narrowing in 23 cases, urethral hymen fusion in 6 cases, unexplained in 11 cases.1.2 Treatment Methods: According to the condition, the patients were treated by three methods: medicine, instrument expansion and surgery respectively.Of the routine use of urinary tract, prochloraz, diazepam and other drugs in the newly diagnosed cases for one week, the symptoms of 20 cases improved obviously.Among the 18 cases, Treatment of poor efficacy, plus urethral dilation treatment, urethral dilatation can be carried out under local anesthesia and non-anesthesia, expansion