膀胱裂

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。

Methods: 32 patients with bladder tumor underwent TURBt and bladder irrigation of chemotherapeutics such as mitomycin.

采用TURBT治疗膀胱肿瘤32例。术后定期使用丝裂霉素等药物膀胱腔内灌注化疗。

Part two: Urethroplasty by using skin oversleeve with vesicomucosa to treat hypospadias.

为解决单独使用膀胱粘膜尿道成形术后并发症较多的问题，我们设计了皮肤袖套式膀胱粘膜尿道成形术治疗重型尿道下裂及部分首次手术失败的尿道下裂患儿，即用游离包皮内板或游离阴囊中隔皮片在尿道外口处做成一短段尿道，然后用游离膀胱粘膜形成全段人工尿道并从包皮内板或游离阴囊中隔皮片做成的尿道内穿出。

Spina bifida ; neurogenic bladder ; artificial reflex arc ; magnetic resonance imaging ; spinal nerve root

脊柱裂；神经性膀胱；人工体神经-内脏神经反射弧；磁共振成像；脊神经根

objective: searching for the treatment which prevents the recurrence of the urinary bladder carcinoma after excision.method:according to the consequence of sensitive test ,we poured chemical medicine into artery before and after the operation ,injected mitomycin c into the tela submucosa after the excision of carcinoma during the operation and pour medicine into bladder regularly after operation.result:in all the 65 specimen group,60 got following investigation more than 3 years,the rate was 92.3%.and 4 recured in 19,27,37,43 months after operation.the rate of recurrence was 6.7%.

作者单位：(1。山东省青岛市中心医院，山东青岛 266042 2。山东省青岛市肿瘤医院，山东青岛 266042)目的：探讨膀胱癌切除术后预防肿瘤复发的治疗方案。方法：依据抗癌药物敏感试验结果，在手术前后进行动脉灌注化疗，术中切除肿瘤后于膀胱粘膜下注射丝裂霉素c和术后定期膀胱内灌注。

Objective To study the cytotoxic effect of thiotepa and mitomycin C on human bladder cancer cell line in vitro.

目的 探讨体外膀胱灌注噻替哌和丝裂霉素C药物浓度和作用时间对膀胱癌细胞杀伤作用的影响。

We have performed urethroplasty by using free inner plate of prepuce or free vesicomucosa for over ten years and total result is good.

尿道下裂的手术方法多样，但现在还不统一，我院十余年来采用游离包皮内板或游离膀胱粘膜行尿道成形术取得了较满意的疗效。

Mathieu's operation is recommended for penile hypospadias. Onlay island flap or Duplay and Duckett's operation are recommended for proximal hypos padias. Bladder mucosal flap should be reserved for situations where the above a pproaches are not feasible.

阴茎头、冠状沟型的尿道下裂尽量采用MAGPI法；阴茎体型宜采用Mathieu法，而近端型宜采用Onlay island flap或Duplay+Duckett法；只有当材料没有或缺乏时才考虑膀胱粘膜法。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失