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暂时性
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    CLINICAL OBSERVATION OF EARLY PELVIC FLOOR MUSCLE EXERCISE CONTROLLING POSTOPERATIVE TUVP TRANSIENT URINARY INCONTINENCE
    早期盆底肌锻炼防治TUVP术后暂时性尿失禁的临床观察
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    Complications of the procedure were as follows:TUR syndrome 2.7%,perforation and extravasation 1.7%,cutting of the venous plexus and cease of the operation 0.6%,intraoperative and postoperative bleeding 3.9%,incontinence 3.8%,voiding difficulty and urethral stricture 2.1%,impotence 12.0% and retrograde ejaculation 45.0%.
    术中术后常见并发症的发生率分别为:TUR综合征2.7%,包膜穿孔和尿外渗1.7%,切破静脉窦而中止手术0.6%,术中出血和术后继发性出血3.9%,暂时性尿失禁38%,永久性尿失禁01%,排尿不畅和尿道狭窄2.1%,阳萎120%,逆行射精450%。
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    Results:A satisfactory result has been achieved in all cases,except 1(3.7%) with stricture of the external urethra and 2(7.4%) with urinary fistula.
    结果:27例患者中,出现尿道口狭窄1例(3.7%)、暂时性尿瘘2例(7.4%),其余均疗效满意。
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    The secondary bleeding and infection in the TURP group was less than that in the TUVP and TULP groups.
    TURP组术后继发感染、出血、暂时性尿失禁发生率少于TUVP及TULP组。
短句来源
    The rate of injury of urethra was 2.1%,TURS 2.4%,perforation and extravasation 2.9% ,haemorrhage 4.5%,suspend inco ntinence 2.8%,permanent incontinence 0.24%,urethral stricture 3.1% ,contractu re of badder neck 1.9%,urethritis-epididymistis-orchitis 6.9%,impotence 6.4%,and r etrograde ejaculation 11.4%.
    发生尿道损伤 2 .1 %。 经尿道电切综合征 (TURS) 2 .4 % ,包膜穿孔和尿外渗 2 .9% ,出血 4 .5 % ,暂时性尿失禁 2 .8% ,永久性尿失禁 0 .2 4 % ,尿道狭窄 3 .1 % ,膀胱颈挛缩 1 .9% ,尿道感染及附睾炎、睾丸炎 6 .9% ,阳萎 6 .4 % ,逆行射精 1 1 .4 %。
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Only 4 out of 40 cases were definitely diagnosed at an early stage and all recoverd after medical treatment. In the remaining 36 cases, a congenital solitary kidney tuberculosis was misdiagnosed as a functionless kidney of the opposite side, and was surgically explored; the others were all late cases so nephrectomy with or without ureterectomy were performed. The cases of misdiagnosing are: (1) Regardless of the importance of careful history taking. Lack of meticulous analysis of the case history or lack of...

Only 4 out of 40 cases were definitely diagnosed at an early stage and all recoverd after medical treatment. In the remaining 36 cases, a congenital solitary kidney tuberculosis was misdiagnosed as a functionless kidney of the opposite side, and was surgically explored; the others were all late cases so nephrectomy with or without ureterectomy were performed. The cases of misdiagnosing are: (1) Regardless of the importance of careful history taking. Lack of meticulous analysis of the case history or lack of understanding of the clinical manifestation (about 61.1%); (2) Regadless of the examination of the urinary sediment for acid-fast bacilli; (3) Atypical manifestation in clinic; (4) Regardless of his (her) own sickness. The possible causes of non-visualization of one kidney on excretory urography are analyzed in this paper and listed as foilows: (1) Rapid elimination of the contrast medium due to too loose abdominal strapping; (2) Temporary obstruction of unilateral upperurinary tract; (3) Congenital dysplastic kidney; (4) Other kidney diseases such as atrophic pyelonephritis; (5) Severe renal tuberculosis.

本文报告40例肾结核,仅有4例获得早期诊断并经药物治疗痊愈;延误诊断36例,除1例为先天性孤立肾合并结核因误诊而作探查手术外,其余35例全都作了肾切除术或肾切除加输尿管切除术。延误诊断的原因:(1)病史询问不够详细,也未对病史作全面分析或者对肾结核的临床表现缺乏了解(占61.1%)。(2)不重视尿常规和尿液抗酸杆菌的检查。(3)临床表现不典型。(4)症状不明显,病人忽视而未就诊。文中讨论了排泄性尿路造影一侧肾脏不显影时,可能的原因有:(1)造影时腹部压迫不紧,造影剂由输尿管迅速排入膀胱。(2)一侧上尿路的暂时性梗阻。(3)先天性弧立肾或一侧先天性肾发育不全症。(4)其它疾患。(5)肾结核破坏严重。

The multiglycosides of Tripterygium wilfordii Hook,f.(hereafter GTW),a Chinese herbal drug available in the market as tablets,has been used for long in the treatment of rheumatoid arthritis and certain skin diseases.It was found to cause reversible infertility in male rats,and possibly in men as well.In the present study,26 fertile men suffering from mild psoriasis requiring GTW treatment were recruited.GTW 20 mg/day(1/3 of the regular therapeutic dose)were given orally for 4-6 months.Semen indices,seminal plasma...

The multiglycosides of Tripterygium wilfordii Hook,f.(hereafter GTW),a Chinese herbal drug available in the market as tablets,has been used for long in the treatment of rheumatoid arthritis and certain skin diseases.It was found to cause reversible infertility in male rats,and possibly in men as well.In the present study,26 fertile men suffering from mild psoriasis requiring GTW treatment were recruited.GTW 20 mg/day(1/3 of the regular therapeutic dose)were given orally for 4-6 months.Semen indices,seminal plasma free 1-carnitine,fructose and acid phosphatase,serum testosterone,FSH and LH,SGPT, BUN,haematology,urine routine analysis,and certain genetio and immunological indices were determined before,and regularly during and after treatment for up to 12 months.One month after treatment,the sperm density and particularly the motility decreased significantly.After 2 months,the motility dropped to 12±9%(all non-progressvie,therefore not fertile)and the density to 25±19 mill/ml.One months after withdrawal of GTW,both the sperm density and motility increased significantly and reached fertile standards,and one more month later they were restored to pretreatment levels.The semen carnitine decreased significantly during treatment and was recovered after GTW removal.No significant side effects were seen and potency and libido were normal.All other parameters observed were not significantly different from the pretreatment levels.Results indicate that GTW can cause reversible infertility in men and that an important site of action is the epididymis.

雷公藤多甙(GTW)为市售中成药,长期以来用于类风湿关节炎、慢性肝炎和一些皮肤病的治疗。不久前表明本品对雄大鼠,也可能对男子有抗生育作用。才研究在26名轻型银屑病人,用小剂量(20ms/日)GTW治疗,同时观察精子数据、精浆生化、血清激素及生化、血象、尿常规以及有关免疫及遗传指标。结果表明,服药1月后精子密度,特别是活率,明显下降,2月后降至不育水平;连服5~6月除少数人有暂时性上腹不适外,无其他明显副作用,性功能如常。停药二月后精子恢复。服药时精浆中游离左旋肉毒碱明显下降,停药后恢复,提示作用部位之一为附睾。所观察的其他指标均无明显影响。

Seminal level studies were done in 156 patients with male infertility. The results showed as follows: 7.2% sterility and among them azoospermia accounted for 5.8% and necrospermia for 1.4%. In 94.2% patients, the results of seminal routine were abnormal in different items and degrees. The seminal fluid of inferility which didn't liquidized in 24h accounted for 32.1%, and it occurred in the first two groups. 27.2% patients were found to have reproductive and/or urinary tract infections, esp. in younger group....

Seminal level studies were done in 156 patients with male infertility. The results showed as follows: 7.2% sterility and among them azoospermia accounted for 5.8% and necrospermia for 1.4%. In 94.2% patients, the results of seminal routine were abnormal in different items and degrees. The seminal fluid of inferility which didn't liquidized in 24h accounted for 32.1%, and it occurred in the first two groups. 27.2% patients were found to have reproductive and/or urinary tract infections, esp. in younger group. The authors suppose that it may be one of the causes for temporary inferility.

对156例男性不育患者精液进行常规检查。结果表明,7.2%的患者有确切不育原因,其中无精子症占5.8%,死精于症占1.4%。约94.2%的患者精液常规指标有项目不同和程度不等的异常改变;24h不液化精液占32.1%,以~25岁和~30岁两个成龄组为主;27.7%(43/156)的患者有程度不同的生殖泌尿系感染,以低年龄组为主,可能为暂时性不育的原因之一。

 
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