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排尿困难

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The perentage of general symptom was 20.8%,such as,fever,fidget,hawk and hypodynamia.The main symptoms and physical signs were micturition crying,dysuresia,abnormal color of urine and oliguresis(86.5%).The next one was digestive systemmatic symptom,accounts for 55.6%,The percentage of fever,hawk,fidget were 42.4%,there were less particulate matter(9.3%),cruenturesis (3.6%),edema(3.0%),anuresis(1.8%) in the urine.

主要症状和体征以排尿哭闹、排尿困难、尿色异常和少尿为多,占85.6%;消化系统症状次之,占55.6%;发热、咳嗽、烦躁等症状占42.4%;尿中有颗粒物、血尿、水肿、无尿等较为严重的症状较少,分别占9.3%、3.6%、3.0%、1.8%。

objective to explore the causes, prevention and treatment of dysuria after prostatectomy.methods from 1993 to 2004, 18 cases of dysuria after prostatectomy were reviewed and analyzed.

目的 探讨前列腺切除术后排尿困难的原因及防治措施。方法对18例前列腺切除术后排尿困难患者的临床资料进行回顾分析。

To investigate the effect of preoperative voiding training on prevention and reduction of dysuria and urinary retention after anorectal surgery.

目的 探讨肛门直肠病术前进行排尿训练对预防和减少术后排尿困难及尿潴留的效果。

Preoperative voiding training can prevent and reduce the occurrence of postoperative dysuria and urinary retention.

术前对患者进行排尿训练可预防和减少术后排尿困难及尿潴留的发生。

Objective: To study the effect of antepartum urination training on obviation or reduction of dysuria and urinary retention after spontaneous delivery.

目的:探讨孕妇产前进行排尿训练对和减少顺产后排尿困难及尿潴留的效果。

Antepartum urination training is effective for obviation or reduction of dysuria and urinary retention after spontaneous delivery.

产前对孕妇进行排尿训练可预防和减少产后排尿困难和尿潴留的发生。

In 9 boys suffered from dysuria, cloudy urine and recurrent fever, posterior urethral valvewith vesico-ureteral refluxwas diagnosed on micturatin cystourethrography and IVU. The reflux was found on 15 sides. Valve ablation by endoscopic fulguration was carried out for 7 and by urethrotomy fulguration in 2. Catheterization was needed for 25~28 months because of difficult urination in the latter 2. Normal urination has been observed in the other 7 right after the operation.

报告9例因排尿困难、反复泌尿系感染等症状,经排尿性膀胱尿道造影检查发现有后尿道瓣膜及继发性膀胱输尿管返流患儿,共15侧。2例经后尿道切开电灼尿道瓣膜,术后留置尿管分别治疗25和28个月,现排尿通畅;7例经尿道内窥镜电灼尿道瓣膜,术后排尿均明显改善。

Results:Micturition of 12 patients became smooth,the function and shape of kidney,ureter and bladder became normal.

结果 :12例排尿通畅,肾脏、输尿管、膀胱的功能形态恢复正常;2例合并糖尿病者排尿困难症状改善,残余尿量明显减少。

The percentage of crying (49.6%) and dysuria (43.4%) were significant in the primary symptom.According to systematic classification,dysuria,oliguresis,deep color of urine,nephelium,urinary crystal and particulate matter (altogether 88.0%) were significant in the urinary systemmatic symptom.The percentage of digestive systemmatic symptom was 33.1%,for example,Bdelygmia,anabole,abdominalgia.

首发症状以哭闹和排尿困难所占比例最高,分别为49.6%、43.4%;按系统分,以排尿困难、少尿、尿色深、浑浊、尿中有结晶和颗粒物等泌尿系统症状为主,占88.0%;恶心、呕吐、腹痛等消化系统的症状占33.1%;发热、烦躁、咳嗽、乏力等一般症状占20.8%。

Results All patients had no bladder and urethra injury, no retropubic hematoma, After removal of catheters, 47 patients successfully voided without incontinence, detrusor instability to various degrees developed in 8 patients and were relieved by expectant treatment. 1 suffered urination difficulty and cured by releasing tension sling. All patients were followed up for 3 to 12 months (mean 6 months), neither recurrence of SUI nor lower urinary tract obstruction was found. No graft rejection and inflammation occurred.

结果 所有患者无膀胱、尿道损伤,无耻骨后血肿形成;47例患者术后拔除尿管均能自行排尿并满意控尿,8例患者出现不同程度不稳定膀胱症状,经对症处理缓解。1例出现排尿困难,经松解张力线后缓解,随访3~12个月,平均6个月,无SUL症状复发及排尿困难,无移植物排斤、感染发生。

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