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Random cystoscopic biopsies of the bladder and prostatic urethra as well as bladder washings were benign.

随机膀胱内部检验镜的活检的膀胱尿道前列腺和以及膀胱后仍能保持效用为良性。

200IU BTX-A was dissolved in 8ml normal saline, and the solution of BTX-A was injected into 8 different points in urinary sphincter using a flexible cystoscopic needle, with each point of 1ml solution. The effects was evaluated and followed up. Result: One month after injection, the hydronephrosis decreased from 3.9±1.2cm to 1.1±0.8cm and PUV did so from 187±58ml to 54±18ml in all patients.

对逼尿肌-外括约肌协同失调的13例患者,将200IU BTX-A溶解于8ml生理盐水,在膀胱尿道镜下分点注射于外括约肌内;对DESD合并逼尿肌-膀胱颈协同失调的6例患者,将200IU BTX-A溶解于12ml生理盐水,分点注射于膀胱颈及外括约肌内。1个月后复查上述检查指标。

Methods: 72 cases of BPH before urodynamics test, accorded to test results choosed a different method of treatment, which TURP56 cases, 8 cases of line prostatectomy, 5 cases of cystostomy surgery, 3 cases of conservative treatment.

对72例BPH患者术前进行尿流动力学检测;根据检测结果选择不同方法进行治疗,其中,经尿道前列腺电切56例,行前列腺切除术8例,膀胱造瘘术5例,保守治疗 3例。

Methods: Ureteral suspension, partial vaginal reconstruction and suprapubic cystostomy were performed in the end of radical Wertheim hysterectomy in 110 patients with early cervical cancer.

结果:术后无1例发生尿瘘,术后泌尿道感染发生率为16.36%(18/110),术后膀胱功能在14天内恢复正常者占45.45%(50/110),14天以上者占54.54%(60/110)。阴道重建术后病例的平均阴道长度为8.54cm。

If the urethral resistance can be reduced by botulinum A toxin injection, patients with detrusor underactivity might restore voiding efficacy by abdominal straining or the Crede maneuver, and even discontinue intermittent catheterization or remove their cystostomy.

如果可以利用注射botulinum A toxin使得尿道阻力减少,那麼逼尿肌膀胱收缩不良病患就可以利用腹部用力,或在下腹部两旁搓压迫膀胱促进排空尿液,甚至以间歇性导尿,恢复排尿能力。

If the urethral resistance can be reduced by botulinum A toxin injection, patients with detrusor underactivity might restore voiding efficacy by abdominal straining or the Crede maneuver, and even discontinue intermittent catheterization or remove their cystostomy.

如果可以利用注射botulinum A toxin使得尿道阻力减少,那么逼尿肌膀胱收缩不良病患就可以利用腹部用力,或在下腹部两旁搓压迫膀胱促进排空尿液,甚至以间歇性导尿,恢复排尿能力。

objective: to investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.methods:the clinical date of 48 bph patients with dhic were analyzed,including clinical diagnosis,urodynamic parameters,treatment and follow-ups.results:37 patients with detrusor instability and over 40 cmh2o bladder pressure were treated successfully by turp.the time of indwelling suprapubic punctural cystostomy cathter was(1~8)weeks.11cases without di and under 40 cmh2o bladder pressure were treated by suprapubic punctural cystostomy,accepted the test of urodynamics after(1~3)months.7 cases with di were treated successfully by turp,4 cases without di were indwelled suprapubic punctural cystostomy cathter all life.conclusion:dhic worsens the voiding function of the patients with bph,and the test of urodynamic is helpful to diagnose and could provide more convinced evidences for treatment of patients.

分析膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力良性前列腺增生48例患者的临床资料,包括诊断,尿动力学检查,治疗及随访结果。结果:37例经尿流动力学检查,诱发存在逼尿肌不稳定,伴膀胱内压达40 cmh2o以上,采取turp,术后留置膀胱造瘘管(1~8)周后全部拔除,排尿通畅。11膀胱内压始终未达到40 cmh2o,且在膀胱注水充盈过程中无逼尿肌不稳定出现,行膀胱造瘘后出院,(1~3)个月后经尿动力学检查复查膀胱逼尿肌收缩力,其中7例膀胱逼尿肌收缩功能有恢复,行经尿道前列腺汽化电切术治愈;剩余4例膀胱逼尿肌收缩功能几乎无任何改善。长期留置膀胱造瘘治疗。结论:良性前列腺增生导致膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力患者,术前应用尿流动力学检查对膀胱逼尿肌损伤程度进行认真分析,可进行有针对性的治疗。

Dissecting the skin and dartos fascia was not adequate to straighten the penis in all patients, even removal of fibrous tissue in pen- urethral region in two cases with ventral curvature, which implied a disproportion of corpora cavernosa.

在表皮、肉膜筋膜甚至远端尿道周围之纤维组识剥离后均不能矫正阴茎弯曲,代表所有病例均属阴茎海绵体本身不对称。

Critical stage: we mainly paid close attention to the state of illness,thened the basic nursing,kept the good functional position,did some simple and short-term passive exercises,raised nutrition,prevented decubital ulcer,urinary infection and other ...

危重期:密切观察病情,加强基础护理,保持良好的功能体位,做简单短时的被动运动,加强营养,预防褥疮和泌尿道感染等并发症;相对稳定期:加强心理护理,进行适度的主动运动;康复期:加强主动运动和被动运动,做好出院指导。

Objective:To approach the available diacrisis and therapeutic tool of cystitis glandularis.

目的:探讨腺性膀胱炎的有效诊断和治疗手段,方法:对120例病例采用膀胱镜及病理检查,并行经尿道膀胱病变汽化电切术,111例辅以膀胱灌注治疗。

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