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Temporarily catheterization pulls out inside 24 H ureter, if undertake uric education or acute retention of urine wait,adopt temporarily catheterization; leaves buy catheterization to be in clinical on common, ureter needs to leave above of buy 24 H, urethral mouth is daily want clean disinfection 2 times, daily change 1 times; keeps bag of collect make water or drainage bottle the person that buy catheter exceeds 7d, change every week ureter 1, with 0 · normally according to the circumstance of fluid of eduction make water 9% physiological saline undertake bladder is rinsed. 2 common problems patient of a few males is opposite circumstance of the psychogenic disorder when 1 catheterization of 2 · nurse catheterization produces psychogenic disorder, often be flushed, next abdomen and perineal ministry muscle are nervous, shadow fugleman make water goes on wheels, impact of urgenter to the illness patient psychogenic disorder is not big, ache and bladder are bouffant the mood that held them, catheterization process is more successful. 2 · 2 see the phenomenon is cracked below road junction of female patient make water occasionally 20 old clinical nurse in the job, the female cracks a circumstance to see 4 below urethral mouth.

临时导尿在24 h内拔除尿管,如进行尿培养或急性尿潴留等采取临时导尿;留置导尿在临床上常见,尿管需留置24 h以上,尿道口每日要清洁消毒2次,每日更换集尿袋或引流瓶1次;留置导尿管超过7d者,每周更换尿管1次,根据排出尿液的情况通常以0·9%生理盐水进行膀胱冲洗。2常见新问题2·1导尿时心理障碍情况一些男性患者对护士导尿产生心理障碍,往往面红耳赤,下腹部及会阴部肌肉紧张,影响导尿顺利进行,对于病情较急的患者心理障碍影响不大,疼痛和膀胱鼓胀占据了他们的情绪,导尿过程较顺利。2·2偶见女性患者尿道口下裂现象20多年的临床护理工作中,女性尿道口下裂情况见4例。

During videourodynamic study, a dilated posterior urethra and a spinning-top distal urethra can be found in patients with pelvic floor hypertonicity, indicating poor relaxtaion of the pelvic floor and urethral sphincter causing functional bladder outlet obstruction.

使用影像尿路动力学检查来侦测其排尿膀胱尿道摄影图时具有一扩张的后段尿道以及一尖嘴形的远端尿道可在许多排尿功能不良的病人被发现,此种现象即表示病人的骨盆底肌肉放松不良。

Results With the new procedure, the tip of the prostate was peeled off completely without extra treatment, and this piece of the urethra,which was composed of surgical envelope, formed a vase-shaped natural surface to avoid urine irretention. The resected plane was covered by fibre and epithelium of surgical envelope,which could reduce irritation of urethra and bladder, and shorten hematuria and repair time. After enucleation of the enlarged prostate, the borderline became clear and blood supply was reduced, which facilitated the rapid resection without injury.

结果 采用新的切割方法前列腺尖部被完整剜除,无需修整,尖部尿道成为由外科包膜构成的喇叭口状自然界面,经过剜除的增生腺体,界面清楚,血供减少,利于快速切除,不易出现包膜损伤,切除效率明显提高。1000例手术顺利,术后发生短期尿道刺激症者150例,发生膀胱颈挛缩6例,尿道狭窄10例。

Urethral hemangiomas are rare benign tumors which may occur as multiple, superficial urethral lesions and have been treated successfully by potassium thiophosphate laser photo-irradiation.

尿道血管瘤是少见的良性尿道肿瘤,它可以是多发表浅的尿道病变,文献上曾以potassium-thiophosphate雷射成功的照射过。

This must first understand the symptoms of urethritis, urethritis and urethritis of the cause of the infection.

这个就得首先了解尿道炎的症状,尿道炎的病因和尿道炎的感染途径了。

Methods The maiden therapy effects of 43 cases of traumatic urethral stricture and 53 cases of post-operative strictures of prostatic urethra treated with dilation and urethrotomy were reviewed and tested by Log-rank.

对尿扩和尿道内切开治疗的43例外伤性尿道狭窄和53例前列腺术后尿道狭窄病人的初次治疗效果进行回顾性分析,用log-rank统计的方法分析其疗效。

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。

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。

We give a detailed views on how to properly and accurately evaluate urethral strictures by imaging, cystourethroscopy and physical examination; and on operation occasion, as to patient selection and the key point of urethroplasty.

本文对尿道狭窄的各种检查,包括影像学、膀胱尿道造影和体检,手术时机和患者的选择,前、后尿道成形术的关键等相关问题作一论述。

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