改良尿道口成形術治療復發(fā)性下尿路感染伴尿道外口處女膜融合

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Application of modified urethra meatus plasty in the treatment of urethral hymenal fusion with recurrent lower urinary tract infection

ABSTRACT：Objective To assess the safety and efficacy of modified urethra meatus plasty in the treatment of recurrent lower urinary tract infection （LUTI） with urethral hymenal fusion.Methods The clinical data of 15 female patients with recurrent LUTI and urethral hymenal fusion treated with modified urethra meatus plasty during Jul.2016 and Jan.2023 in our hospital were retrospectively analyzed.The surgical method was to make skin incision horizontally between the lower margin of the urethra and the upper margin of the vaginal hymen，separate the space between the urethra and the vagina，and then suture the incision longitudinally to maintain the distance between the urethra and the vaginal hymen upper margin at more than 1.5 cm.Clinical outcomes were assessed using a follow-up questionnaire.Results All operations were successful，with no Clavien-Dindo grade Ⅰ or above complications such as wound infection or secondary bleeding during perioperative period.During the follow-up of 48 （18-96） months，11 cases were cured，and 4 cases were improved.The cure and improvement rate was 100%.All patients who underwent the surgery would recommend patients with similar conditions to undergo this surgery.Conclusion Modified urethra meatus plasty is a safe and effective surgical treatment for recurrent LUTI with urethral hymenal fusion.

KEY WORDS：lower urinary tract infection; urethral hymenal fusion; urethral meatus plasty

摘要：目的 探討改良尿道口成形術治療復發(fā)性下尿路感染（LUTI）伴尿道外口處女膜融合的安全性和有效性。（剩余6402字）