女性尿道肉阜并发尿道-阴道壁融合症诊治(附42例报告)

Diagnosis and Treatment of the Female Urethral Caruncle Complicated with Urethrovaginal Wall Fusion (Report of 42 cases)

目的 探讨尿道肉阜并发其他尿道综合症的诊断及防治方法。方法 尿肉阜者 ,若同时阴道口 -尿道口之间的最短距离 <0 .5cm ,则诊断为该症。采用尿道肉阜电切术加尿道外口阴道壁间距延长术 ,保持间距 >0 .6cm。结果 :痊愈 35例 (83.4% ) ,好转 6例 (14.2 % ) ,无效 1例 (2 .3% )。结论 尿道肉阜并发尿道 -阴道壁融合症的手术治疗必须同时处理。

Objective To seek the ways of diagnosis and treatment of urethral caruncle complicated by the other urethral syndrome. Methods The diagnoisis criterion of urethral caruncle was that the shortest distance between vaginal orifice and meatusurinarius was less than 0.5cm. urethral caruncle was resected by an ecectric knife and the distance between meatus urinarius and vaginal orifice was lengthened to longer than 0.6cm. Results The symptoms disappeared completely in 35 cases(83.4%), retruned well in 6 cases (14.2%), was ineffective in 1 case(2.3%).Conclusions When the situation of urethral caruncle complicated by urethro-vaginal wall's fusion appears both must be treated during operation in the same time.