尿道旁注射治疗女性尿道周围腺炎所致顽固性尿道痛初步探讨

Preliminary discuss of paraurethral injection in the treatment of female urethral peripheral mastitis induced obstinate urethral pain

目的探讨尿道旁注射（利多卡因＋头孢曲松钠＋地塞米松）治疗对抗生素无效的女性尿道周围腺炎所致顽固性尿道痛的可行性及临床疗效。方法本组12例患者，女性，已婚，年龄38～72岁，病史最短4年，最长30年。金属尿道探条引导下，于尿道旁5、7点位置注射生理盐水5ml＋碳酸利多卡因5ml＋头孢曲松钠1g＋地塞米松5mg，一周两次，两周为一个疗程。结果12例患者都能顺利完成尿道旁注射，无不良反应发生。10例患者注射一个疗程后疼痛完全缓解；2例注射两个疗程后较注射前疼痛明显改善，主诉满意。平均随访6（2～12）个月，患者顽固性尿道痛都明显缓解，无一例复发。结论尿道旁注射能安全、快速、有效缓解女性尿道周围腺炎所致顽固性尿道痛，提高生活质量，是治疗女性顽固性尿道疼痛一种简单有效的方法，值得临床推广。

Objectives To evaluate the feasibility and clinical efficacy of paraurethral injection （ lidocaine ＋ eeftriaxone ＋ dexamethasone in the treatment of female urethral peripheral mastitis induced obstinate urethral pain. Methods 12 patients were treated with paraurethral injection. They were all female, married, aged 38 to 72 years with an average age of 55 years and suffered from urethral pain 4 to 30 years. Under the guidance of metal urethral bougie, NSSml ＋ carbonated lidocaine 5ml ＋ ceftriaxone lg ＋ dexamethasone 5mg were injected in the para- urethra at 5 and 7 o, clock position twice a week, two weeks for a course of treatment. Results Paraurethral injection was successfully performed in 12 patients and no adverse reactions were observed. The symptoms of urethral pain of 10 patients disappeared after a course of injection and 2 cases significantly relief after two courses. Mean follow - up 6 （2 -12） months, patients with refractory urethral pain were relieved and no one recurrenced. Conclusions Paraurethral injection was a simple, safe, feasible, effective way of treatment for female urethra peripheral masti- tis induced urethral pain and worthy of promotion in clinic.