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尿道血管瘤有关报道很少,有者认为该病极为罕见。但实际上由于病变隐敝,监床上对本病认识不足。医院缺乏尿道镜设备,故诊断不易,则造成漏诊、误诊。我们在没有尿道镜设备下,用简易方法检查,从1976年至1985年6月,确诊本病10例,现报告如下。一般资料年龄22～63岁,40岁以上7例。全组均有生育史。多数经产1胎以上,仅1例未生育已妊娠5个月。病史最短10天,最长4年。病程中间歇尿道出血,出血量数滴或较多,但不与尿液混合。多数在大便干燥,或下蹲劳动后发生出血,其中1例每发生于月经过后尿末滴血。6例在当地医院误诊为阴道出血、痔疮出血及血尿。10例入院后经膀胱镜检查未发现异常,均用本法确诊为尿道毛细血管瘤,7例经病理证实,3例未送检。术后随访6个月至9年,其中除3例失访外,
Urethral hemangioma few reports, some people think the disease is extremely rare. However, in fact, due to the lesion is hidden, supervise the disease on the lack of knowledge of the disease. The lack of urethral equipment in the hospital, so the diagnosis is not easy, resulting in missed diagnosis, misdiagnosis. We have no urethroscope equipment, with a simple method of examination, from 1976 to June 1985, the diagnosis of the disease in 10 cases, are as follows. General information Age 22 to 63 years old, over 40 years old in 7 cases. The whole group has a history of childbearing. The majority of more than 1 child by birth, only 1 child have not been pregnant for 5 months. The shortest history of 10 days, up to 4 years. Intermittent urethral bleeding in the course of the disease, the number of drops or more bleeding, but not mixed with urine. Most of the dry stool, or squatting work after the occurrence of bleeding, of which 1 occurred in each case of urine after the end of the drop of blood. Six cases were misdiagnosed as vaginal bleeding, hemorrhoids and hematuria in local hospitals. 10 cases were admitted to the hospital after cystoscopy showed no abnormalities were diagnosed with this method of urethral capillary hemangioma, 7 cases confirmed by pathology, 3 cases were not seized. The patients were followed up for 6 months to 9 years. Among them, 3 patients were lost to follow-up,