女性尿道旁腺囊肿32例诊疗经验总结

Diagnosis and treatment experience of 32 cases with Female paraurethral cyst

目的:探讨女性尿道旁腺囊肿的病因、早期诊断及手术方法。方法:回顾性分析32例经病理证实的女性尿道旁腺囊肿,其中17例行尿道旁腺囊肿切除术,15例行囊肿开窗术,对诊疗问题进行讨论。结果:本组患者都获得随访,时间1个月～2年。全部单次手术治愈,均恢复正常排尿,性生活满意度明显提高,未发现囊肿复发、尿道狭窄、尿失禁或尿道阴道瘘等并发症。结论:触诊是诊断女性尿道旁腺囊肿的基本手段,彩超、CT、MRI等影像学检查是目前最可靠的诊断方法。囊肿切除术是治疗女性尿道旁腺囊肿的首选方法,囊肿开窗术具有治愈率高、创伤性小、简便易行、安全可靠等优点。

Objective： To study the etiology, early diagnosis and operation method of female paraurethral cyst. Methods： 32 cases of female paraurethral gland cysts confirmed by pathological examination were retrospectively analyzed, 17 pa- tients were treated by cystectomy of paraurethral gland and 15 by fenestration, the problems related to the diagnosis and treatment of this diease were discussed. Results：All cases were followed up for 1 month to 2 years. All patients were cured by single operation, resumed normal emiction, increased obvious satisfaction of sex lives, with no complications, such as cyst recmxence, urethral stricture, incontinence or fistula of urethra to vagina, etc. Conclusions：Palpation examination is the basic methods to diagnose this disease. Coloured ultrasound, CT and MRI are the most credible examination at pres- ent. Cystectomy of paraurethral gland should be the first choice of treatment for female paraurethral gland cysts. Fenestra- tion of paraurethral gland cysts has the advantages of high cure rate, conveniency, safety, reliability, effecacy and minimal