中华皮肤科杂志 ›› 2017, Vol. 50 ›› Issue (5): 333-336.

• 论著 • 上一篇    下一篇

高频超声下楔形切除术治疗男性淋球菌性尿道旁管扩张11例临床研究

范文葛1,范志江2,叶迅3,毛敏1,王玲4,5,薛峤1,陶晓瑜4,5,丁浩1,魏梅4,5,张静6,赵军6   

  1. 1. 江苏省常熟市第一人民医院皮肤科
    2. 江苏省常熟市第一人民医院泌尿外科
    3. 江苏省常熟市第一人民医院
    4.
    5. 苏州大学附属常熟医院、常熟市第一人民医院皮肤科
    6. 常熟市第一人民医院
  • 收稿日期:2016-09-22 修回日期:2016-10-26 发布日期:2017-04-28
  • 通讯作者: 范文葛 E-mail:fwgqh@sina.com

High?frequency ultrasound imaging?guided wedge resection for the treatment of paraurethral duct dilatation following gonococcal paraurethral duct infection in 11 male patients

  • Received:2016-09-22 Revised:2016-10-26 Published:2017-04-28

摘要: 目的 探讨楔形切除术治疗淋球菌感染后继发男性尿道旁管扩张的疗效。方法 高频超声指导下,用楔形切除术切除男性淋球菌性尿道旁管扩张11例。详细记录患者术中时间、术中出血量、伤口愈合时间、并发症。手术后4周内尿道外口小孔消失,挤压原小孔处,无分泌物自原小孔处溢出,高频超声未能检测到管道状回声判为痊愈。手术4周后尿道外口仍有小孔,挤压后仍有分泌物自小孔处溢出,高频超声仍能检测到管道状回声判为无效。结果 11例患者手术时间14 ~ 23 min[(19.19 ± 2.71) min]、术中出血量8 ~ 14 ml[(11.09 ± 2.07) ml]、伤口愈合时间13 ~ 17 d[(14.91 ± 1.45) d]。10例痊愈,1例无效。均无并发症,龟头均无缺损。结论 楔形切除术治疗男性淋球菌性尿道旁管扩张是一种有效的治疗方法。

Abstract: Fan Wenge, Fan Zhijiang, Ye Xun, Mao Min, Wang Ling, Xue Qiao, Tao Xiaoyu, Ding Hao, Wei Mei, Zhang Jing, Zhao Jun Department of Dermatology, Changshu No.1 People′s Hospital, Changshu Hospital Affiliated to Soochow University, Changshu 215500, China (Fan WG, Mao M, Wang L, Xue Q, Tao XY, Ding H, Wei M, Zhang J, Zhao J); Department of Urinary Surgery, Changshu No.1 People′s Hospital, Changshu Hospital Affiliated to Soochow University, Changshu 215500, China (Fan ZJ); Department of Ultrasonography, Changshu No.1 People′s Hospital, Changshu Hospital Affiliated to Soochow University, Changshu 215500, China (Ye X) Corresponding author: Fan Wenge, Email: fwgqh@sina.com 【Abstract】 Objective To evaluate therapeutic effects of wedge resection on male paraurethral duct dilatation following gonococcal paraurethral duct infection. Methods With the aid of high?frequency ultrasound images, 11 male patients with paraurethral duct dilatation following gonococcal paraurethral duct infection were treated with wedge resection. The data were collected, including the surgical duration, amount of bleeding during the surgery, period of wound healing and complications. If the ostium beside the external urethral orifice disappeared within 4 weeks after the surgery, there was no discharge from the ostium with pressure, and no tubular echoic area was observed by high?frequency ultrasound imaging, the patient was considered to be recovered. If none of the above three conditions could be met, the surgical treatment was considered to be ineffective. Results The average surgical duration was 19.19 ± 2.71 minutes (range, 14 - 23 minutes), the average amount of bleeding during the surgery was 11.09 ± 2.07 ml (range, 8 - 14 ml), and the average period of wound healing was 14.91 ± 1.45 days (range, 13 - 17 days). Of the 11 patients, 10 were cured, and 1 showed no response. No complications were observed in any of the 11 patients, and no defects formed in the glans penis. Conclusion Wedge resection is a kind of effective therapy for paraurethral duct dilatation following gonococcal paraurethral duct infection in males.

引用本文

范文葛 范志江 叶迅 毛敏 王玲 薛峤 陶晓瑜 丁浩 魏梅 张静 赵军. 高频超声下楔形切除术治疗男性淋球菌性尿道旁管扩张11例临床研究[J]. 中华皮肤科杂志, 2017,50(5):333-336. doi: