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女性泌尿系感染现代观
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CURRENT OPINION IN FEMALE URINARY TRACT INFECTIONS
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女性泌尿系感染现代观
1.
女性泌尿系感染现代观 CURRENT
OPINION IN FEMALE URINARY TRACT INFECTIONS 中山大学附属一院泌尿外科 中山大学深圳泌尿外科医院 梅 骅
2.
3.
4.
5.
菌毛抗原与粘液受体结合,被尿液洗出。 尿道上皮缺乏粘液或粘液内缺乏受体,细菌粘附于上皮表面。
6.
7.
8.
9.
10.
11.
妇女尿道上皮脱落细胞 A
:中层鳞状上皮,正常月经周期。 B 、 C :表层和中层鳞状上皮,尿路感染, 50 岁雌激素治疗中。 D :外底层细胞, 50 岁。
12.
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16.
17.
18.
19.
膀胱输尿管返流
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
妇女急性膀胱炎
33.
34.
急性膀胱炎
35.
36.
膀胱白斑 膀胱颈假息肉
37.
腺性膀胱炎
38.
39.
抗菌剂对急性膀胱炎的疗效 76 97
93 70 82 75 7 天 7 天 10 天 Furandantin Ciplofloxacin SMZ-TMP 1 周时尿 无菌 % 1 周时症 状消失 % 疗程 药 物
40.
41.
42.
43.
44.
45.
正常 处女膜伞 Hymen
fimbria 尿道口处女膜融合 Urethral hymen fusion 尿道口 低位
46.
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48.
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50.
病例一
51.
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53.
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55.
病例二
56.
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59.
60.
61.
62.
女性前列腺炎 Female prostatitis
63.
64.
65.
66.
67.
68.
69.
70.
尿道周围性积脓 尿道镜下切开线管
71.
72.
尿道周围腺切开术
73.
74.
75.
尿道旁腺囊肿 碟形手术 尿道憩室
76.
77.
78.
79.
80.
急性肾盂肾炎
81.
82.
83.
84.
85.
慢性肾盂肾炎
86.
87.
88.
89.
90.
91.
抗返流的输尿管膀胱吻合
92.
93.
94.
95.
96.
谢谢 中山医科大学深圳泌尿外科医院
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