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对前列腺增生或前列腺癌引起的尿道梗阻而不能手术的病人,作者使用泌尿道螺旋(Urologische Spirale,US)治疗,可解除尿流障碍,恢复自主排尿,并能保存尿道活门功能,使逆行膀胱感染自愈,禁忌症和并发症很少,操作简单,使用安全,本文首次报告对48例病人使用情况,并对其作出评价。 US用不锈钢丝制成,似弹簧状,由体、颈和头部构成,置入尿道后,体部被尿道前列腺部围绕固定,其长度应事先估计,使其螺纹较稀的尾端突入膀胱1.5～2 cm;颈部长2 cm,被外括约肌和尿道生殖隔围绕固定;头部圆形,位于尿道球部,易于放置和取出。与原来的螺旋相比,新型的螺纹较密,原料较薄较硬,表面极光滑,因此,新型螺旋非常柔软,尿道组织不长入其腔内,尿垢沉积最少,使用两年后仍
In patients who are inoperable with prostatic hyperplasia or prostatic urethral obstruction, the authors treated with Urologische Spirale (US) to relieve urinary flow disorders and restore spontaneous urination and to preserve urethral valve function so that retrograde bladder infection Self-healing, contraindications and complications are few, simple, safe to use, this article first reported on the use of 48 patients, and its evaluation. US is made of stainless steel wire, which is spring-like. It consists of body, neck and head. After being placed in the urethra, the body is fixed around the urethra and its length should be estimated in advance so that its thinner thread end protrudes into the bladder 1.5 ~ 2 cm; neck length 2 cm, surrounded by external sphincter and urethral reproductive septum fixed; head round, located in the urethral bulb, easy to place and remove. Compared with the original spiral, the new type of thread is dense, the material is thin and hard, and the surface is very smooth. Therefore, the new type of spiral is very soft, the urethra tissue does not grow into its cavity and the urinary scale deposition is the least. After two years