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女性尿道憩室:术后并发症及结果

Diverticulum of the female urethra: postoperative complications and results.

作者信息

Lee R A

出版信息

Obstet Gynecol. 1983 Jan;61(1):52-8.

PMID:6401854
Abstract

This study reports the results and complications of operation for 85 patients with diverticulum of the urethra. The technique for surgical excision and the factors necessary for successful repair are described. The follow-up period was from 2 to 15 years. Seventy patients (82%) experienced immediate and complete relief. A clinically significant postoperative complication--urethrovaginal fistula--occurred in one patient; clinical evidence of urethral stricture was not encountered. Delayed complications eventually occurred in 14 patients: recurrent urinary tract infection (2), urethral pain syndrome (2), urinary incontinence (2), and recurrent diverticulum (8). Many of these were continuations or recurrences of the chronic infectious entity rather than complications related to urethral diverticulectomy.

摘要

本研究报告了85例尿道憩室患者的手术结果及并发症。描述了手术切除技术及成功修复所需的因素。随访时间为2至15年。70例患者(82%)立即获得完全缓解。1例患者出现具有临床意义的术后并发症——尿道阴道瘘;未发现尿道狭窄的临床证据。14例患者最终出现延迟并发症:复发性尿路感染(2例)、尿道疼痛综合征(2例)、尿失禁(2例)和复发性憩室(8例)。其中许多是慢性感染性疾病的延续或复发,而非与尿道憩室切除术相关的并发症。

相似文献

1
Diverticulum of the female urethra: postoperative complications and results.女性尿道憩室:术后并发症及结果
Obstet Gynecol. 1983 Jan;61(1):52-8.
2
Vaginal wall bipedicled flap and other techniques in complicated urethral diverticulum and urethrovaginal fistula.阴道壁双蒂皮瓣及其他技术在复杂性尿道憩室和尿道阴道瘘中的应用
J Am Coll Surg. 1995 Feb;180(2):150-6.
3
Recurrent pseudodiverticula of female urethra: five-year experience.女性尿道复发性假性憩室:五年经验
Urology. 2009 Jun;73(6):1218-22. doi: 10.1016/j.urology.2008.07.040. Epub 2009 Apr 18.
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[Diverticulum of the female urethra].[女性尿道憩室]
Prog Urol. 1995 Jun;5(3):335-50; discussion 350-1.
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Diagnosis and reconstruction of the dorsal or circumferential urethral diverticulum.背侧或环状尿道憩室的诊断与重建
J Urol. 2003 Jul;170(1):82-6; discussion 86. doi: 10.1097/01.ju.0000067291.70172.b5.
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Urinary symptoms before and after female urethral diverticulectomy--can we predict de novo stress urinary incontinence?女性尿道憩室切除术前和术后的泌尿系统症状——我们能否预测新发压力性尿失禁?
J Urol. 2008 Nov;180(5):2088-90. doi: 10.1016/j.juro.2008.07.049. Epub 2008 Sep 18.
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Rate of de novo stress urinary incontinence after urethal diverticulum repair.尿道憩室修复术后新发压力性尿失禁的发生率。
Urology. 2008 May;71(5):849-53. doi: 10.1016/j.urology.2007.11.138. Epub 2008 Mar 20.
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A complicated urethrovaginal fistula following an inappropriate urethral diverticulum management.不当的尿道憩室处理后出现的复杂性尿道阴道瘘。
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Suburethral diverticula treated by marsupialization.经袋形缝合术治疗的尿道下憩室。
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[Urethral diverticula in women. Apropos of 15 cases].[女性尿道憩室。附15例报告]
Ann Urol (Paris). 1998;32(6-7):375-8.

引用本文的文献

1
Female Urethral Diverticulum: Presentation, Diagnosis, and Predictors of Outcomes After Surgery.女性尿道憩室:临床表现、诊断及手术预后的预测因素
Female Pelvic Med Reconstr Surg. 2016 Nov/Dec;22(6):447-452. doi: 10.1097/SPV.0000000000000312.
2
Surgical management of urethral diverticula in women: a systematic review.女性尿道憩室的外科治疗:一项系统评价
Int Urogynecol J. 2016 Jul;27(7):993-1001. doi: 10.1007/s00192-015-2862-y. Epub 2015 Nov 13.
3
Incidence of female urethral diverticulum: a population-based analysis and literature review.
女性尿道憩室的发病率:基于人群的分析及文献综述
Int Urogynecol J. 2014 Jan;25(1):73-9. doi: 10.1007/s00192-013-2155-2. Epub 2013 Jul 16.