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患者,30岁,未婚。因会阴尿瘘1年半于1988年5月19日入院。诉1年半以前在玩弄阴茎时,将缝衣针插入尿道口,未排出。半年后,会阴漏脓尿,长期不愈。体检:阴茎、阴囊、睾丸均正常,会阴左侧可见一黄豆大小瘘口,有黄色脓液外溢,排尿时,会阴尿瘘处脓尿呈点滴状。尿道及膀胱区前后位X线片显示耻骨上方可见一缝衣针阴影,呈横位。于1988年6月6日在硬膜外麻醉下行膀胱探查术。术中见膀胱粘膜完整,膀胱内无缝衣针。决定在X线荧光屏直视下手术。荧光屏显示缝衣针位于前列腺部,遂横行切开膀胱颈粘膜及前列腺组织2.5cm,从中取出长2.5cm缝衣针一根。肠线缝合前列腺粘膜止血,膀胱内置双腔气囊
Patient, 30 years old, unmarried. 1 year and a half due to perineal urinary fistula on May 19, 1988 admission. One and a half years ago when playing with the penis, the needle into the urethra, did not discharge. Six months later, perineal leakage pyuria, long-term unhealed. Physical examination: the penis, scrotum, testis are normal, the left side of the perineum can be seen a size of fistula soybeans, yellow pus overflow, urination, urinary fistula abscess was dripping. Urethra and urinary bladder area before and after the X-ray showed above the pubic symphysis can be seen a needle shadow, was horizontal. Bladder exploration was performed on epidural anesthesia on June 6, 1988. See intraoperative complete bladder mucosa, bladder seamless needle. Decided to X-ray screen surgery under direct vision. Fluorescent screen shows the needle in the prostate, then transverse incision of bladder neck mucosa and prostate tissue 2.5cm, remove the needle 2.5cm long. Gut stitching prostate mucosal hemostasis, bladder built-in double-chamber balloon