尿道

Simple urethral stricture may be managed conservatively by dilation or urethrotomy. however, urethroplasty may be required.

单纯尿道狭窄可用尿道扩张及尿道切开等保守法治疗，但有时需行尿道成形术。

Methods Twelve patients who suffered from external orifice stricture were treated with urethral dilation, and we performed prophylactic urethrotomy just before operation on the latest 56 patients who underwent TUPKRP and strengthened local nursing after the operation.

对12例发生尿道外口狭窄的患者采用尿道外口扩张、尿道外口切开，对最近56例施行TUPKRP患者采用预防性尿道外口切开及加强术后尿道外口的护理。

To evaluate the effect of interal urethrotomy with cold knife under urethrascope for urethrostenosis and urethratresia.

探讨尿道内内镜冷刀切开治疗尿道狭窄或闭锁的疗效。应用STORZ公司 2 1号镜鞘，放入冷刀工作件，插入尿道镜，冲液下观尿道，直至狭窄部。

At a mean follow-up of 15 months (range, 10-19 months), 19 (65.51%) of 29 patients had excellent results, and nine patients (31.03%) had acceptable results. HolCTU failed to maintain good flow in the latter group, necessitating internal urethrotomy/endoscopic dilation once or twice for stabilization (maximal flow rate 15 mL/s or greater). One patient (3.44%) had recurrent obstruction despite repeated internal urethrotomy, which finally required formal transpubic urethroplasty. All of the patients were continent, with no change in potency status.

经过15个月的后续追踪(范围在1 0-19个月)，29位患者中有19 位(65.51%)患者有极佳的效果，另有9位(31.03%)患者有可以接受的效果；不过，后面几组无法以尿道造口术维持好的流动，为了稳定流速，需要一至两次内部的尿道造口术/内视镜扩张术(最大流速为5 mL/s 或更大)；有1位(3.44%)患者虽然重复接受内部尿道造口术，但是一再发生阻塞，患者最后需要经正规的耻骨尿道成形术，全部患者可在不影响性功能的情况下控制排尿。

Methods: One hundred and fourteen operations were performed for BPH patients, including transurethral resection/vapor of the prostate, inguinal herniorrhaphy, internal urethrotomy, transurethral resection of bladder tumor or vesical litholapaxy, and the data were reviewed.

对114例合并有腹股沟疝、尿道狭窄、膀胱肿瘤或膀胱结石的BPH患者在行经尿道前列腺电切／汽化术时，同期行腹股沟疝修补术、尿道内切开术、经尿道膀胱肿瘤电切术或膀胱取石术。

Methods : The endourethral surgery, such as internal urethrotomy transurethral scar electrosectomy or transurethral scar plasmakinetic bipolar electrocautery or transurethral laser cicatrectomy, were carried out in 46 cases suffering from the complicated urethrostenosis and urethratresia.

回顾性总结46例采用冷刀、等离子体双极电切术或激光技术行窥视下经尿道内切开、切除尿道瘢痕组织治疗复杂性尿道狭窄或尿道闭锁的经验。

Abstract］ objective to discuss the effect of two kinds of nursing methods of male urinary incontinence patients to urinary tract infection and patient's comfortable influence of degree.methods 80 masculine urine incontinence patients in our hospital with voluntary will were chose,and divided them into the observation group and the comparison group,with 40 examples each.the observation group used bt-ⅰ high level chamber pot,the comparison group used the catheter.compared with 2 groups after nursing of the 3rd,7th,10th,14th day-long urethral meatus bacilliculture,the severance urine bacilliculture result and the urine road junction partial symptom.results compared the results of urine road and severance urine bacilliculture,and the urine road junction partial symptom of two groups,the observation group masculine positive rate was obviously lower than the comparison group,the difference had statistics significance（p.05）.conclusion using bt-ⅰ chamber pot can effectively enhance the nursing effect of the masculine urine incontinence patients'perineum and periphery skin,enhance the patients' degree of comfort.

目的 探讨男性尿失禁患者两种护理方法对尿路感染及患者舒适度的影响。方法本着患者及家属自愿选择的原则将入住我院的男性尿失禁患者80名分为观察组和对照组各40例。观察组利用bt-ⅰ型高级透气接尿器，对照组采用留置导尿管，比较两组护理后第3、7、10、14天的尿道口的细菌培养结果及尿道口的局部症状。结果两组患者尿道口培养结果及尿道口局部不良症状比较，观察组阳性率明显低于对照组，差异有统计学意义（p＜0.05）。结论使用bt-ⅰ型接尿器可有效提高男性尿失禁患者会阴及周围皮肤的护理效果，提高患者的舒适度。

We reported a case of a sessile urethral hemangioma which occupied the surface of the urethra from the proximal prostatic urethra to the bulbomembranous and distal pendulous urethra.

本病例的尿道血管瘤由近端的前列腺尿道经过球膜部尿道延伸到远端的阴茎尿道部位。

Flatten uroflow curves were seen in all patients with marked meatal stenosis. A bell-shaped flow curve was obtained in most patients after urethroplasty using oral mucosa graft combined with a local flap. The peak flow was within the normal range. The flow curve was obviously flat in patients with urethral stricture. The maximum flow rate was low and the voiding time prolonged apparently.

尿流率曲线低平的患者，均伴有明显的尿道外口狭窄；口腔粘膜片移植与局部皮瓣耦合再造尿道修复尿道下裂的患者，多数恢复了接近正常的钟形尿流率曲线，最大尿流率在正常范围：尿道下裂术后尿道狭窄的患者排尿曲线明显低平，最大尿流率降低，排尿时间延长。

Results 16 cases were successful in all patients(88.9%),except one case of urethrostenosis and urethral fistula respective.

结果18例患儿一次手术成功16例(成功率88.9%)，尿道狭窄、尿道瘘各1例，尿道狭窄患儿尿道扩张5个月好转，尿道瘘患儿术后8个月二次手术修补成功。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。