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女孩,7岁,出生后排尿不能控制,尿不断滴沥,于1965年3月住某院诊治,诊断为尿道括约肌缺如,作尿道缩窄术,术后尿仍不能控制,1965年9月21日转入我院。体格检查:尿不断从尿道口滴出,小手指可插入尿道内,尿道松弛,收缩力很弱。诊断为先天性尿道括约肌功能不全所致尿失禁。在乙醚开放麻醉下施行股薄肌移植(Deming氏术改良),术后2周拔除导尿管,病儿能自行控制排尿,在拔导尿管后最初1~2天內约1小时排尿1次,每次尿量约30毫升,以后排尿情况迅速好转,白天7~8次,夜晚3~4次,夜晚熟睡后偶有遗尿。
Girl, 7 years old, after birth can not control urination, urinary drip continued to live in a hospital in March 1965 for diagnosis and treatment of urethral sphincter absence of urethral narrowing, postoperative urine still can not control, September 21, 1965 Day transferred to our hospital. Physical examination: urine continuously drip from the urethra, small fingers can be inserted into the urethra, urethral relaxation, contractility is weak. Diagnosis of congenital urethral sphincter dysfunction caused by urinary incontinence. In the open ether anesthesia implementation gracilis muscle transplantation (Deming’s surgery improved), 2 weeks after removal of the catheter, the sick child can control their own urination, pull the catheter within 1 to 2 days after the first urination 1 Times, each urine output of about 30 ml, after urination rapidly improved, 7 to 8 times during the day and night, 3 to 4 times, occasional enuresis at night after sleeping.