尿道

From June 2002 to March 2003, 29 men with obliterative strictures of the bulbomembranous urethra underwent the core-through procedure. The length of the stricture was 2.5 cm or shorter in all patients, with good alignment between the two urethral ends. The obliterative fibrotic tissue was vaporized by a holmium laser guided by a metal sound introduced through the suprapubic tract.

从2002年6月到20033月，29位球膜尿道的闭锁性尿道狭窄的男性接受穿越核心的外科手术，所有患者的狭窄部位长度为2.5公分或小於2.5公分，其手术部位尿道两端的精准度相当好，闭锁纤维化组织藉由钬雷射的金属探针经由上耻骨通道被蒸发。

The findings were compared with those in cystogram and at operation. The results showed that B ultrasornd could evaluate the tension of intra urethral sphincter accurately and there by divided the degree of intraurethral relaxation, into mild, moderate and severe, as it was possible to diagnose unequivocally whether the neurogenic bladder of the patients were assocated with ralaxation ofo intra...

结果显示：实时B超能准确的反应尿道内括约肌张力情况，并能根据其肌松弛情况将其分为轻、中、重三度，从而使神经原性膀胱是否合并尿道内括约肌松弛于手术前即可确定诊断，进而术前确定手术方式，可避免部分病人不必要尿道损伤。

Urethral realignment or simple cystostomy was carried out as the instant management of posterior urethral disruption for 19 children and the long-term result has been closely studied.

为了评价小儿外伤性后尿道损伤急症处理方法的效果，将19例后尿道损伤患儿分为尿道会师组和单纯膀胱造瘘组，对二组的急诊处理方法及远期疗效进行了回顾性分析。

Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

结果：不稳定性膀胱9例（45%），低顺应性膀胱5例（25%），膀胱出口梗阻11例（55%），逼尿肌尿道括约肌协同失调7例（35%），其中不稳定膀胱合并膀胱出口梗阻6例，低顺应性膀胱合并膀胱出口梗阻4例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。结论：慢性前列腺炎患者的下尿路症状与不稳定性膀胱、低顺应性膀胱、膀胱出口梗阻及逼尿肌尿道外括约肌协同失调有关，了解这些相关因素对治疗有重要的指导意义。

Result: unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .conclusion : the symptom of inferior urinary tract in patients with chronic prostatitis urodynamic was related to the unstable bladder, low compliance bladder , obstruction in the bladder outlet and dyssynergia in detrusor muscle and external urethral sphincter ,to know the correlation factors do significant benefit in guiding the clinical treatment.

结果：不稳定性膀胱9例（45%），低顺应性膀胱5例（25%），膀胱出口梗阻11例（55%），逼尿肌尿道括约肌协同失调7例（35%），其中不稳定膀胱合并膀胱出口梗阻6例，低顺应性膀胱合并膀胱出口梗阻4例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。结论：慢性前列腺炎患者的下尿路症状与不稳定性膀胱、低顺应性膀胱、膀胱出口梗阻及逼尿肌尿道外括约肌协同失调有关，了解这些相关因素对治疗有重要的指导意义。

Result: Unstable bladder in 9 cases(45%), low compliance bladder in 5 cases (25%), obstruction in the bladder outlet in 11 cases (55%), dyssynergia in detrusor muscle and external urethral sphincter in 7 cases (35%), unstable bladder with obstruction in the bladder outlet in 6 cases, low compliance bladder with obstruction in the bladder outlet in 4 cases , unstable bladder with dyssynergia in detrusor muscle and external urethral sphincter in 2 cases .

采用丹迪尿流测定仪对20例慢性前列腺炎患者进行尿流率、充盈性膀胱侧压、压力―流率测定、尿道侧压及肌电图检查。结果：不稳定性膀胱9例（45%），低顺应性膀胱5例（25%），膀胱出口梗阻11例（55%），逼尿肌尿道括约肌协同失调7例（35%），其中不稳定膀胱合并膀胱出口梗阻6例，低顺应性膀胱合并膀胱出口梗阻4例，不稳定膀胱合并逼尿肌尿道外括约肌协同失调2例。

In detrusor-urethral dyssynergia,the membranous urethral pressure elevated on voiding.When there was detrusor-external sphincter dyssynergia,it was further complicated by electric overactivity.In detrusor-bladder neck dyssynergia,the bladder neck pressure sloped down at voiding.

2逼尿肌尿道协同失调的病人，排尿时膜部尿道压升高，其中逼尿肌外括约肌协同失调时合并有肌电活动明显增加，逼尿肌膀胱颈协同失调肌电活动正常，排尿期尿道测压膀胱颈处压力呈斜坡样下降。

In this operation the two-way catheter with an inner iron line was led by the guardiance of forefinger post operative urethral.dilation was processed properly,And comparing with control group.Results: 79 cases have been followed up and 69 cases can micturate normally,the cure rate being 87.3%.

回顾分析80例后尿道损伤患者采用食指引导下，直接放置带有导丝的双腔导尿管行简化的尿道会师加牵引术，行术后尿道扩张，并和对照组比较。

Methods According to the length of urethra defect,18 cases were operated by using one-stage urethroplasty with perineal and preputial island flaps.

方法18例后段尿道下裂，根据尿道缺损的长度采用会阴部正中、包皮横行联合岛状皮瓣一期尿道成形术。

Methods: Clinical data of 32 cases of patients with complicated posterior urethral stricture treated by the trepanning appliance and the 21 cases by common operation were retrospectively reviewed.

在对32例复杂性后尿道狭窄患者行开放性手术中，使用后尿道钻孔器钻孔，并与21例常规后尿道钻孔的疗效进行对比。

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。