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尿道形成术治疗小儿先天性尿道下裂的临床护理体会 被引量:1
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作者 艾向霞 《医学信息(医学与计算机应用)》 2016年第27期220-220,221,共2页
目的:分析尿道形成术治疗小儿先天性尿道下裂的临床护理干预体会。方法回顾性分析120例先天性尿道下裂患儿的临床资料,将其随机分为观察组与对照组,每组各120例,其中对照组采用常规护理措施,观察组在对照组的基础上进行临床护理干预,比... 目的:分析尿道形成术治疗小儿先天性尿道下裂的临床护理干预体会。方法回顾性分析120例先天性尿道下裂患儿的临床资料,将其随机分为观察组与对照组,每组各120例,其中对照组采用常规护理措施,观察组在对照组的基础上进行临床护理干预,比较两组患儿的并发症发生情况及Th1、Th2百分比测量情况。结果观察组发生切口感染、吻合口瘘、再狭窄等并发症的发生比例显著低于对照组,差异据统计学意义(P<0.05);两组患者手术后经过72 h护理后,其Th1、Th2百分比测量结果均显著优于手术前,差异具统计学意义(P<0.05);而观察组术后72 h两项指标显著优于对照组,差异具统计学意义(P>0.05)。结论针对采用尿道性成术治疗的小儿先天性尿道下裂患儿采取全面、细致的临床护理干预措施,可有效减少手术并发症,提高患儿免疫力。 展开更多
关键词 尿道形成术 先天性尿道下裂 护理干预
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用尿道板纵切卷管尿道形成术治疗尿道下裂
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作者 朱磊 《中国实用医刊》 2016年第1期42-43,共2页
目的:探讨用尿道板纵切卷管尿道形成术治疗尿道下裂的临床效果。方法选取商丘市第一人民医院泌尿外科2012年3月至2014年9月收治的42例尿道下裂伤患者作为研究对象,按照随机数字法将其分为对照组和观察组,对照组患者采取加盖岛状皮瓣... 目的:探讨用尿道板纵切卷管尿道形成术治疗尿道下裂的临床效果。方法选取商丘市第一人民医院泌尿外科2012年3月至2014年9月收治的42例尿道下裂伤患者作为研究对象,按照随机数字法将其分为对照组和观察组,对照组患者采取加盖岛状皮瓣尿道形成术进行治疗,观察组患者采取尿道板纵切卷管尿道形成术进行治疗,比较两组治疗方法的临床效果。结果经过有效治疗后,观察组患者显效15例,有效6例,无效0例,总有效率为100%,对照组患者显效13例,有效8例,无效0例,总有效率为100%,两组比较差异未见统计学意义(P>0.05);观察组患者手术时间、术中出血量、并发症发生率以及阴茎外形满意度均明显高于对照组,两组比较差异有统计学意义( P<0.05)。结论对于尿道下裂伤患者采用尿道板纵切卷管尿道成形术治疗疗效确切,且并发症发生较少,值得在临床推广应用。 展开更多
关键词 尿道板纵切卷管尿道形成术 尿道下裂伤 临床效果 并发症
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经尿道前列腺电切通道形成术治疗高危前列腺增生37例 被引量:6
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作者 吴小伟 莫鉴锋 +3 位作者 潘桂常 曾鹏 曾健文 陈润强 《实用医学杂志》 CAS 2008年第20期3527-3528,共2页
目的:探讨经尿道前列腺电切通道形成术(transurethral tunnel resecetion of prostate,TUTRP)治疗高危良性前列腺增生(BPH)的疗效及安全性。方法:自2001年1月至2007年12月应用TUTRP治疗高危BPH患者37例。结果:手术时间10~35min,切除腺... 目的:探讨经尿道前列腺电切通道形成术(transurethral tunnel resecetion of prostate,TUTRP)治疗高危良性前列腺增生(BPH)的疗效及安全性。方法:自2001年1月至2007年12月应用TUTRP治疗高危BPH患者37例。结果:手术时间10~35min,切除腺体质量10~40g,术后排尿困难症状均有不同程度的改善,无一例死亡。结论:TUTRP对于高危BPH患者临床疗效确切,有良好的安全性。 展开更多
关键词 前列腺增生 高危 尿道前列腺电切通道形成
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尿道成形术后尿道瘘的预防性护理 被引量:4
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作者 李丹 吴轶璇 《全科护理》 2011年第28期2580-2581,共2页
[目的]总结尿道成形术后尿道瘘的预防性护理。[方法]对214例尿道下裂患儿行尿道成形术,同时加强护理,包括手术切口的观察及护理、引流管护理、饮食和活动指导、舒适护理、排尿体位训练、出院指导等。[结果]随访6个月至1年,发生尿道瘘36... [目的]总结尿道成形术后尿道瘘的预防性护理。[方法]对214例尿道下裂患儿行尿道成形术,同时加强护理,包括手术切口的观察及护理、引流管护理、饮食和活动指导、舒适护理、排尿体位训练、出院指导等。[结果]随访6个月至1年,发生尿道瘘36例,其中再次手术修复后痊愈30例,6例尚未接受再次手术,尿道瘘发生率为17%。[结论]对尿道成形术后患儿在常规护理基础上实施针对性护理干预,可缩短住院日,提高护理质量,确保手术成功,为患儿的全面康复提供有效的保证。 展开更多
关键词 尿道下裂 尿道形成术 尿道 护理
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高龄高危患者经尿道前列腺电切通道形成术的手术配合和护理 被引量:2
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作者 曹惠清 黄凤珠 吴洁 《吉林医学》 CAS 2012年第15期3321-3322,共2页
目的:探讨高龄高危患者前列腺增生症患者经尿道前列腺电切通道形成术的手术配合和护理。方法:回顾性分析对37例高龄高危前列腺增生症患者的术前准备和术中配合资料,总结出各种护理问题,采取针对性措施。结果:手术配合良好,过程顺利,无... 目的:探讨高龄高危患者前列腺增生症患者经尿道前列腺电切通道形成术的手术配合和护理。方法:回顾性分析对37例高龄高危前列腺增生症患者的术前准备和术中配合资料,总结出各种护理问题,采取针对性措施。结果:手术配合良好,过程顺利,无严重并发症发生。结论:对高龄高危患者行经尿道前列腺电切通道形成术,应根据患者的个体差异,制订不同的护理措施,术中积极配合,术后追踪、观察,对护理效果评价,是保证手术安全、疗效满意的方法。 展开更多
关键词 室护理 高龄高危 尿道前列腺电切通道形成
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小儿阴茎型尿道下裂一期尿道成形术手术配合 被引量:2
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作者 黎檀梅 《中外医疗》 2012年第19期54-54,共1页
目的探讨小儿阴茎型尿道下裂一期尿道成形术手术配合的方法与效果。方法将64例阴茎型尿道下裂患儿进行一期尿道成形术,并同时加强围术期护理、术前心理护理、术中手术配合。结果 64例中一次性治愈60例,痊愈率达93.7%,术后半年无并发症... 目的探讨小儿阴茎型尿道下裂一期尿道成形术手术配合的方法与效果。方法将64例阴茎型尿道下裂患儿进行一期尿道成形术,并同时加强围术期护理、术前心理护理、术中手术配合。结果 64例中一次性治愈60例,痊愈率达93.7%,术后半年无并发症的发生;尿瘘4例(6.3%),术后修复痊愈;无尿道口狭窄情况。结论加强小儿阴茎型尿道下裂一期尿道成形术的手术配合可以成功在减少患儿痛苦的情况下成功治愈,并且加强术前护理和术中配合对减少并发症起着重要作用。 展开更多
关键词 小儿 尿道下裂 尿道形成术 护理
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应用带蒂包皮内板一期修复尿道下裂
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作者 何浔 叶祥东 +1 位作者 万学珍 钟剑 《九江医学》 1995年第4期212-213,共2页
本文报告应用带蒂包皮内板一期尿道形成术治疗先天性尿道下裂16例。尿道口重建于龟头正常位置,用硅胶导管做新建尿道支撑管,并直接插入膀胱引流尿液,不另做膀胱造瘘。文中对手术适应证、包皮内板的应用、术后并发症的预防作了简要... 本文报告应用带蒂包皮内板一期尿道形成术治疗先天性尿道下裂16例。尿道口重建于龟头正常位置,用硅胶导管做新建尿道支撑管,并直接插入膀胱引流尿液,不另做膀胱造瘘。文中对手术适应证、包皮内板的应用、术后并发症的预防作了简要讨论。 展开更多
关键词 尿道下裂 包皮内板 尿道形成术
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Snodgrass尿道成形术治疗尿道下裂 被引量:15
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作者 刘毅东 叶惟靖 黄翼然 《中国男科学杂志》 CAS CSCD 2005年第2期34-36,共3页
目的评价Snodgrass手术方法在治疗尿道下裂中的效果。方法复习2001年12月至2003年9月19例尿道下裂患者行Snodgrass尿道成形术(尿道板纵切卷管尿道成形术)资料。其中再手术者5例。5例在术中行白膜纵切折叠术纠正阴茎下弯。拔管后根据排... 目的评价Snodgrass手术方法在治疗尿道下裂中的效果。方法复习2001年12月至2003年9月19例尿道下裂患者行Snodgrass尿道成形术(尿道板纵切卷管尿道成形术)资料。其中再手术者5例。5例在术中行白膜纵切折叠术纠正阴茎下弯。拔管后根据排尿情况,选择行前尿道扩张。结果19例患者中,3例术后出现冠状沟处尿道瘘(其中1例尿瘘于感染后出现),2例尿扩后自行愈合。随访中,10例拔管后2周内出现尿道口狭窄,经尿道口扩张后均缓解。结论Snodgrass尿道成形术操作简便,手术成功率高,整形效果满意,可以作为治疗尿道下裂首选术式,并适合再次手术的病例。 展开更多
关键词 尿道下裂 外科手 尿道形成术
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FREE GRAFT TWO-STAGE URETHROPLASTY FOR HYPOSPADIAS REPAIR
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作者 Zhong-jinYue Ling-junZuo Jia-jiWang Gan-pingZhong Jian-mingDuan Zhi-pingWang Da-shanQin 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第2期119-122, ,共4页
Objective To evaluate the effectiveness of free graft transplantation two-stage urethroplasty for hypospadias repair. Methods Fifty-eight cases with different types of hypospadias including 10 subcoronal, 36 penile sh... Objective To evaluate the effectiveness of free graft transplantation two-stage urethroplasty for hypospadias repair. Methods Fifty-eight cases with different types of hypospadias including 10 subcoronal, 36 penile shaft, 9 scrotal, and 3 perineal were treated with free full-thickness skin graft or (and) buccal mucosal graft transplantation two-stage urethroplasty. Of 58 cases, 45 were new cases, 13 had history of previous failed surgeries. Operative procedure included two stages: the first stage is to correct penile curvature (chordee), prepare transplanting bed, harvest and prepare full-thickness skin graft, buccal mucosal graft, and perform graft transplantation. The second stage is to complete urethroplasty and glanuloplasty. Results After the first stage operation, 56 of 58 cases (96.6%) were successful with grafts healing well, another 2 foreskin grafts got gangrened. After the second stage operation on 56 cases, 5 cases failed with newly formed urethras opened due to infection, 8 cases had fistulas, 43 (76.8%) cases healed well. Conclusions Free graft transplantation two-stage urethroplasty for hypospadias repair is a kind of effective treatment with broad indication, comparatively high success rate, less complications and good cosmatic results, indicative of various types of hypospadias repair. 展开更多
关键词 HYPOSPADIAS two-stage operation free graft transplantation
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Two-stage urethroplasty is a better choice for proximal hypospadias with severe chordee after urethral plate transection: a single-center experience 被引量:14
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作者 Da-Chao Zheng Hai-Jun Yao Zhi-Kang Cai Jun Da Qi Chen Yan-Bo Chen Ke Zhang Ming-Xi Xu Mu-Jun Lu Zhong Wang 《Asian Journal of Andrology》 SCIE CAS CSCD 2015年第1期94-97,I0009,共5页
It is still debatable whether single- or two-stage urethroplasty is a more suitable technique for treating hypospadias with severe chordee after urethral plate transection. This retrospective study evaluated these two... It is still debatable whether single- or two-stage urethroplasty is a more suitable technique for treating hypospadias with severe chordee after urethral plate transection. This retrospective study evaluated these two techniques. A total of 66 patients of proximal hypospadias with severe chordee were divided into two groups according to the techniques they underwent: 32 and 34 patients underwent single-stage (Duckett) or two-stage urethroplasty, respectively. Median ages at presentation were 7.5 years and 11.0 years in single-stage and two-stage repair groups, respectively. Median follow-ups were 28.5 months (20-60 months) and 35 months (18-60 months) in the single-stage and two-stage groups, respectively. The meatus of the neourethra was located at the top of the glans in all patients. No recurrence of chordee was found during follow-up, and all patients or parents were satisfied with the penile length and appearance. Complications were encountered in eight patients in both groups, with no statistically significant differences between the two techniques. The late complication rate of stricture was higher after the single-stage procedure (18.75% vs 0%). The complication rate after single-stage repairs was significantly lower in the prepubescent subgroup (10.52%) than in the postpubescent cohort (46.15%). These results indicate that the urethral plate transection effectively corrects severe chordee associated with proximal hypospadias during the intermediate follow-up period. Considering the higher rate of stricture after single-stage urethroplasty, two-stage urethroplasty is recommended for proximal hypospadias with severe chordee after urethral plate transection. 展开更多
关键词 CHORDEE proximal hypospadias single-stage urethroplasty two-stage urethroplasty
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Operative techniques of anastomotic posterior urethroplasty for traumatic posterior urethral strictures
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作者 周占松 宋波 +2 位作者 金锡御 熊恩庆 张家华 《Chinese Journal of Traumatology》 CAS 2007年第2期101-104,共4页
Objective: To elucidate the details of operative technique of anastomotic posterior urethroplasty for traumatic posterior urethral strictures in attempt to offer a successful result. Methods: We reviewed the clinica... Objective: To elucidate the details of operative technique of anastomotic posterior urethroplasty for traumatic posterior urethral strictures in attempt to offer a successful result. Methods: We reviewed the clinical data of 106 patients who had undergone anastomotic repair for posterior urethral strictures following traumatic pelvic fracture between 1979 and 2004. Patients' age ranged from 8 to 53 years (mean 27 years ). Surgical repair was performed via perinea in 72 patients, modified transperineal repair in 5 and perineoabdominal repair in 29. Follow-up ranged from 1 to 23 years ( mean 8 years ). Results: Among the 77 patients treated by perineal approaches, 69 (95.8 % ) were successfully repaired and 27 out of the 29 patients (93. 1% ) who were repaired by perineoabdominal protocols were successful. The successful results have sustained as long as 23 years in some cases.Urinary incontinence did not happen in any patients while impotence occurred as a result of the anastomotic surgery. Conclusions: Three important skills or principles will ensure a successful outcome, namely complete excision of scar tissues, a completely normal mucnsa ready for anastomosis at both ends of the urethra, and a tension-free anastomosis. When the urethral stricture is below 2. 5 cm long, restoration of urethral continuity can be accomplished by a perineal procedure. If the stricture is over 2. 5 cm long, a modified perineal or transpubic perineoabdominal procedure should be used. In the presence of a competent bladder neck, anastomotic surgery does not result in urinary incontinence. Impotence is usually related to the original trauma and rarely (5.7 % ) to urethroplasty. 展开更多
关键词 URETHRA FRACTURES ANASTOMOSIS Urethral stricture
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