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我科从１９８５年１月～１９９７年４月手术治疗女性尿道处女膜融合病４６例。平均年龄３２６岁，施行尿道外口成形术。术后随访４２例，随访时间平均１年５个月，治愈２８例，好转１１例，无效３例，总有效率９３％。此病是女性下尿路感染的重要原因之一。临床表现为反复发作的膀胱刺激症状。特点是尿道外口与处女膜融合，尿道口与阴道口距离＜５ｍｍ，二者之间缺乏前庭组织，且多数患者伴有尿道外口处女膜伞形成。手术治疗目的是矫正尿道口解剖异常。手术关键是扩大并向上牵拉尿道外口，尽量延长尿道口与阴道口的距离，并彻底切除尿道口周围的处女膜及疤瘢组织。本病易误诊，多按“尿道感染”治疗，症状反复不愈。故对长期反复下尿路感染的女性患者要考虑本病可能。对术后无效的患者应进一步排外合并其它器质性病变，特别是要鉴别是否有膀胱尿道功能异常。尿动力学检查可明确诊断。
Our department from January 1985 to April 1997 surgical treatment of female urethra hymenus fusion in 46 cases. The average age of 32 6 years old, the implementation of urethral external plasty. 42 cases were followed up for an average of 1 year and 5 months, 28 cases were cured, 11 cases were improved, 3 cases were ineffective, and the total effective rate was 93%. The disease is one of the important causes of lower urinary tract infection in women. Clinical manifestations of recurrent bladder irritation. Characterized by the outer urethra and hymen fusion, urethra and vaginal orifice distance <5mm, the lack of vestibular tissue between the two, and most patients with urethral umbilical umbrella formation. The purpose of surgical treatment is to correct anatomic urethra abnormalities. Surgery is the key to expand and pull up the urethral orifice, urethra and vaginal mouth to maximize the distance, and complete removal of the urethra around the hymen and scar scar tissue. Easy to misdiagnosis of the disease, and more by “urinary tract infection” treatment, repeated symptoms of unhealed. Therefore, long-term repeated lower urinary tract infection in women with this disease may be considered. Patients who are ineffective after surgery should be further excluded with other organic diseases, in particular, to identify whether there is abnormal bladder and urethra. Urodynamic examination can confirm the diagnosis.