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尿道肉阜是妇女常见病之一,虽然局部病变小,但泌尿系症状严重,尤其是局部疼痛,影响性生活及工作。药物治疗效果不佳,施行手术切除容易复发。我科用5%重铬酸钾治疗尿道肉阜21例,现总结如下。材科与方法一、材料自1984年3月至1987年8月在门诊共治疗尿道肉阜21例。最大年龄67岁,最小47岁。肉阜最大者1.5×0.9cm,最小者0.5×0.3cm。直径在1cm以上者8例,在0.5cm 以下者13例。二、方法取膀胱截石位;常规外阴阴道消毒,铺无菌孔巾,尿道口四周用消毒纸保护,暴露肉阜。用5%重铬酸钾棉棒(药液不要太多),迅速腐蚀肉阜,使组织变白。然后用75%乙醇棉球及生理盐水棉球擦去多余药液。结果本组经三年随访,除1例腐蚀三次而痊愈,1例半年后复发再次治疗外.其余者一次成功。上药时患者有疼痛感,但能自忍,约3～5分钟自觉症状消失。
Urethral caruncle is one of the common women, although the local lesion is small, but the symptoms of urinary system is serious, especially local pain, affecting life and work. Poor drug treatment, the implementation of surgical resection easy to relapse. My department with 5% potassium dichromate urethral caries 21 cases, are summarized as follows. Materials and methods First, the material from March 1984 to August 1987 in the clinic a total of 21 cases of urethral caries. The maximum age of 67 years old, minimum 47 years old. The largest caruncle 1.5 × 0.9cm, the smallest 0.5 × 0.3cm. 8 cases were above 1 cm in diameter and 13 cases were below 0.5 cm. Second, the method of bladder lithotomy position; conventional vulva vaginal disinfection, shop sterile hole towel, urethra surrounded by disinfection paper protection, exposure to the carnivore. With 5% potassium dichromate swab (liquid do not too much), quickly corrode meat, the organization white. Then use 75% ethanol cotton balls and saline cotton balls to wipe off excess liquid. Results The group was followed up for three years, except for one case of three times of corrosion and recovered, and one case of relapse after six months of treatment again. The other one was successful. The patient has a pain when the drug, but can endure, about 3 to 5 minutes subjective symptoms disappear.