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女性尿道憩室在临床中并不少见。但由于对本病特征缺乏认识,常可误诊。今介绍三例并加以讨论。病例一:女、28岁,工厂出纳员。两年前无意发现尿道口有一黄豆大肿块,无任何不适感。近两个月肿块逐渐增大,排尿时少许牵引胀感,但无明显尿频尿急尿痛。于1981年3月16日入院。阴道指诊发现尿道外口下方之阴道前壁可触及一核桃大肿块,质软,无压痛。尿道粘膜光滑.无糜烂出血。诊断为尿道旁腺脓肿、尿道肿瘤。手术取阴道前壁切口,见肿块与尿道粘膜粘连,并有与尿道相通之针尖大开口,稍加挤压,即从尿道口流出5毫升黄色脓液。将肿块切除,尿道粘膜即见一小口破损,予以缝合。镜下见横纹肌、平滑肌及疏松之结缔组织呈水肿玻璃
Female urethral diverticulum is not uncommon in clinical practice. However, due to the lack of awareness of the characteristics of this disease, often misdiagnosed. Three cases are introduced and discussed. Case 1: Female, 28 years old, factory cashier. Two years ago, I had no intention of discovering a big bulky urethra with no discomfort. In the past two months, the mass gradually increased, urinating a little traction, but no obvious urinary frequency urgency dysuria. March 16, 1981 admission. Vaginal referral found below the urethral anterior vaginal wall can touch a large walnut mass, soft, no tenderness. Urethral mucosa smooth. No erosion bleeding. Diagnosis of urethral abscess, urethral tumor. Surgical vaginal anterior incision to see the mass and urethral mucosa adhesions, and the urethra communicating with the tip of a large opening, a little squeeze, that is, from the urethra 5 ml of yellow pus outflow. The mass excision, see a small urethral mucosa damage, to be sutured. Microscope to see striated muscle, smooth muscle and loose connective tissue was edema glass