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女性尿道旁腺囊肿(囊状扩张或潴留囊肿)临床上较为少见,由于本病未受到普遍重视,往往被忽略而延误诊断。作者收集了4例,报告如下。临床资料自1971～1983年本院共收治患尿道旁腺囊肿的女病人4例,年龄分别为42,49,28和36岁。例1、例2患复发性尿路感染5年及2年多,肾功能有不同程度减退。检查发现双侧尿道旁腺管口隆起,局部水肿、充血,有压痛,沿阴道前壁向尿道口按压时,可见脓液从管口流出,诊断为尿道旁腺积脓。施行尿道旁腺管切开及囊肿去顶术,例1追踪12年,症状消失,尿路感染无复发;例2术后1年内症状消失,以后失访。例3因反复发作下尿路感染4年而就诊,例4则于10天前性交时觉尿道口疼痛而引起注意。此2例均为尿道旁腺潴留囊肿,后者更合并感染,均施行囊肿切除术,切出直径1cm及2cm的囊肿后,症状未再发。
Female urethral cyst (cystic dilatation or retention of the cyst) is relatively rare clinical, because the disease has not been generally valued, often overlooked and delayed diagnosis. The authors collected 4 cases, the report is as follows. Clinical data From 1971 to 1983 in our hospital received a total of 4 cases of female patients suffering from urethral cysts, aged 42, 49, 28 and 36 years old. Cases 1, 2 cases of recurrent urinary tract infection with 5 years and 2 years, renal dysfunction have varying degrees of decline. Examination revealed bilateral bilateral paraurethral orifice uplift, local edema, congestion, tenderness, along the anterior vaginal wall to the urethra pressure, we can see pus flow from the orifice, the diagnosis of urethral gland empyema. Peri-urethral catheterization and cyst debridement were performed. In case 1, the symptoms disappeared and the urinary tract infection did not recur after 12 years of follow-up. Example 2 Symptoms disappeared within 1 year after operation and were subsequently lost. Example 3 because of repeated episodes of lower urinary tract infection for 4 years and treatment, 4 cases in 10 days before sexual intercourse felt urethral pain and attention. In both cases, there was paraurethral retention of the cyst, which was more complicated with infection. Cyst excision was performed. After removing the cyst with diameter of 1 cm and 2 cm, the symptoms did not recur.