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女童尿道口狭窄——临床诊断与治疗(作者译)

[Meatus stenosis of girls--clinical demonstration and therapy (author's transl)].

作者信息

Heising J, Seiferth J

出版信息

Urologe A. 1978 Sep;17(5):292-5.

PMID:706007
Abstract

This report concerns meatotomies performed on 50 girls, aged 2--13 years, suffering from meatus stenosis. The symptomatic and diagnostic procedures are described. Miction difficulties, pollakiuria, and imperative micturition connected with chronic-recurrent cystides are emphasized. Calibration of the urethra is the decisive diagnostic procedure. The miction cystourethogram, however, provides only a hint as to the presence of a meatus stenosis with the pathological description of the urethra in the form of a prestenotic dilation and of an 'onion' or 'wineglass' shaped configuration. The therapeutic results are considered very good, because 48 of the 50 girls had neither subjective complaints nor urinary infections 1--2 years after the meatotomy. This represents a recovery rate of 96%.

摘要

本报告涉及对50名年龄在2至13岁、患有尿道口狭窄的女孩进行的尿道口切开术。文中描述了症状及诊断程序。着重强调了与慢性复发性膀胱炎相关的排尿困难、尿频和急迫性排尿。尿道扩张是决定性的诊断程序。然而,排尿性膀胱尿道造影仅能提示尿道口狭窄的存在,同时伴有尿道的病理描述,表现为狭窄前扩张以及“洋葱”或“酒杯”状形态。治疗效果被认为非常好,因为50名女孩中有48名在尿道口切开术后1至2年既无主观不适,也未发生泌尿系统感染。这代表着96%的治愈率。

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