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二氧化碳激光治疗处女膜伞(附42例报告)

CO2 laser for treatment of hymenal fimbria (report of 42 cases)

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【作者】 高建伟高宁齐琳陈晓梅

【Author】 GAO Jian-wei1, GAO Ning2, QI Lin2, CHEN Xiao-mei2 (1.Department of Urology, Chinese Medical Hospital of Linshu County, Linshu, Shandong 276700, P.R.China; 2.Department of Urology, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R.China)

【机构】 临沭县中医医院泌尿外科中南大学湘雅医院泌尿外科中南大学湘雅医院泌尿外科 山东临沭276700湖南长沙410008

【摘要】 目的探讨CO2激光治疗处女膜伞的操作要点及临床应用价值。方法回顾性分析总结42例处女膜伞患者应用CO2激光治疗的经验。结果42例处女膜成形均获成功,手术时间15~29min,平均20min,术中出血量<5mL。术后随访12~48个月,无1例出现尿道外口狭窄。34例术前有下尿路感染症状者中,25例症状基本消失,8例有不同程度缓解,仅1例症状无改善。42例复查尿常规,38例WBC阴性,4例阳性(+~++/HP)。结论CO2激光治疗处女膜伞,操作简单、创伤小、恢复快、效果满意、并发症少、治疗方便且治疗费用低,可以在门诊大力推广。

【Abstract】 [Objective] To evaluate the surgical techniques and clinical effects of CO2 laser for treatment of hymenal fimbria. [Methods] 42 patients treated by CO2 laser were retrospectively analyzed. [Results] All the 42 cases underwent meatal-hymenoplasty by CO2 laser successfully. The operative time ranged from 15 to 29 min (mean 20 min). Intraoperative blood loss was less than 5 mL. 42 patients were followed up for 12 to 48 months. No meatal stenosis occurred. 25 patients′ infection symptoms disappeared in 34 cases which had lower urinary tract infection symptoms before and 8 cases obviously improved. 38 cases′ WBC was negative in urinalysis while 4 positive. [Conclusions] It was suggested that the treatment of hymenal fimbria by CO2 laser was safer, more effective, less invasive and simpler. It could be generalized in OPD.

【关键词】 处女膜伞激光治疗
【Key words】 hymenal fimbrialasertreatment
  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2006年05期
  • 【分类号】R711.1
  • 【被引频次】1
  • 【下载频次】61
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