幸运飞艇玩的群

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健康報 男性無法站著排尿?
更新日期:2019-05-14 瀏覽次數:11396

男性無法站著排尿?尿道下裂的修復與重塑,還男人自信人生

 

LAIYUAN:JIANKANGBAO    2019.5.12

SHOUFANGZHUANJIA:ZHONGGUOYIXUEKEXUEYUANZHENGXINGWAIKEYIYUAN CHENWEN

 

  ZUOWEIZUICHANGJIANDENANXINGMINIAOXITONGXIANTIANJIXING,NIAODAOXIALIEGEIHUANZHEDAILAILEZHUDUOBUBIAN。RUJINHUANZHEDUIYUNIAODAOXIALIEDEZHENZHIXUQIUYIBUZAIJUXIANYU“NENGYONG”,TAMENXIWANG“XIANZAIHEJIANGLAIDOUHAOYONG、HAOKAN”。

 

 

  中國醫學科學院整形外科醫院(八大處整形醫院)尿道下裂中心副主任陳文教授是最早提出尿道下裂修復與重塑并舉的醫生,本期我們請他結合自己20多年的心得,介紹這一領域的進展。

 

  患者診治越來越積極 重癥減少輕癥增多

幸运飞艇玩的群  JIZHE:ZHONGGUOYIXUEKEXUEYUANZHENGXINGYIYUANSHELILEGUONEISANJIAYIYUANZHONGWEIYIZHILIAONIAODAOXIALIEDEZHUANKEZHONGXIN,ZHELIDEHUANZHELAIZIQUANGUOGEDI,ZAININKANLAI,JINXIENIANNIAODAOXIALIEZHENZHIZHONGDEZHUYAOBIANHUASHISHENME?

  CHENWEN:GENJUWOGUOXIANTIANXINGCHUSHENGQUEXIANJIANCEZHONGXINDETONGJI,MEICHUSHENG125~500GENANHAI,JIUYOUYIGENIAODAOXIALIEHUANZHE。JINNIANLAI,YOUYUKONGQIWURAN、NONGYAOCANLIU、LANYONGSHACHONGJI、WAIYUANJISUDENGYINSUYINGXIANG,ZHEYIBILIHUANZAIZHUNIANZENGJIA。

 

(TUJIENIAODAOXIALIE)

 

  近些年,尿道下裂患者和家屬的診治態度發生了明顯變化,從以往的盡量回避到如今的積極治療,他們態度的轉變極大地推動了這一領域的發展。

  20SHIJI80NIANDAIDAO90NIANDAI,LAINIAODAOXIALIEZHILIAOZHONGXINQIUZHIDEDUOSHIZHONGZHONGDUHUANZHE,QIUZHIYUANYINSHIHAIZIBUNENGZHENGCHANGPAINIAO,SHENZHIXUYAODUNWEIPAINIAO,RUBUZHILIAO,HUIDUIHAIZISHENGHUOZAOCHENGJIDAYINGXIANG。DANGSHIDEZHILIAOZHIYAOJIAOZHENGYINJINGWANQU,ZHONGJIANYIDUANQUESUNNIAODAOJIKE。

幸运飞艇玩的群  ERMUQIANLAIZHONGXINDEDUOSHIQINGZHONGDUDENIAODAOXIALIE,HENDUOHUANZHEBIAOXIANWEINIAODAOYUANDUANQUESUN,BINGBUYINGXIANGPAINIAOGONGNENG,ZHISHIBANFAYOUYIDINGDEYINJINGTOUWANQUHEYINJINGTOUDEFENLI。YINCI,SHOUSHUBUJINYAOZHONGJIANNIAODAO,HUANYAOJIAOZHENGJIXING,HUIFUZHENGCHANGYINJINGDEWAIXING。

 

幸运飞艇玩的群(NIAODAOXIALIESHOUSHUSHIYITU)

 

  RUJINZHEZHONGZHUANGTAI,HEWO10NIANQIANZAIMEIGUOXUEXINIAODAOXIALIEZHILIAOSHISUOKANDAODEQINGKUANGXIANGSI。ZHEBUJINSHIWOGUOJINGJIFAZHAN,RENQUNJIANKANGSHUIPINGTISHENGDETIXIAN,GENGFANYINGLEHUANZHEZIWOYISHIHEDUISHENGHUOZHILIANGYAOQIUDETISHENG,YUCITONGSHI,YUELAIYUEDUODEQINGXINGNIAODAOXIALIERENQUNYEZAIXUNQIUSHOUSHUZHILIAO。

 

  治療理念更新 滿足患者更高需求

  JIZHE:CONGYISHENGZHENZHIJIAODUKAN,ZHUYAODEBIANHUASHISHENMENI?

  CHENWEN:YAOXIANGSHIYINGHUANZHEGENGGAODEXUQIU,LINCHUANGYISHENGDEZHILIAOLINIANZIRANYINGYOUSUOBIANHUA,ZHUYAOBIAOXIANZAILIANGGEFANGMIAN。QIYISHICONGNIAODAOXIUFUDAOYINJINGCHANGTAI。CHANGJIUYILAI,NIAODAOXIALIEXIUFUSHOUSHUCHENGGONGDEBIAOZHUNYIZHIDOUSHIWANCHENGNIAODAOXIUFU。HUANZHEDEXUQIUYEZHUYAOJIZHONGZAIJIEJUEGONGNENGZHANGAI,BAOZHANGZHENGCHANGPAINIAO。ZHENGXINGWAIKESUIRANHUICAIYONGGENGJINGXIDEFENCENGFENGHEJISHU,JINLIANGJIANSHAOBAHEN,HUIZAIBAOZHENGYINJINGJIAOZHIDEJICHUSHANGJINLIANGKAOLVXINGTAIDEZHENGCHANG。DANWEIQUEBAOGONGNENGHUIFU,ZAISHIJICAOZUOZHONGDUIYUYINJINGXINGTAIDEGUANZHUBINGBUGOU。

  第二個理念演變是從重建尿道到陰莖重塑。近年,一些患者已不滿足僅僅解決功能問題,還要求解決形態問題。我們從很早就開始關注尿道下裂治療中功能和形態的雙治愈。當手術并發癥和功能治療問題都已不是難題時,陰莖形態的美觀就成為醫生需要重點考慮的問題。如何在保證療效的基礎上,達到陰莖形態的完整,重塑一個美觀的陰莖,成為我們團隊手術的新標準。

 

(CHENWENTONGGUOXUESHUJIAOLIUTUIGUANGZHENGXINGCELVE)

 

  治療方法逐漸趨于成熟穩定

  JIZHE:NINTIDAODELIANGGELINIANBIANHUA,XUYAOJIANLIZAISHOUSHUJISHUGAIJINDEJICHUSHANG,CAINENGGOUSHIXIAN。NINCHANGSHICAIYONGKOUQIANGNIANMOYIZHI,BUCHONGBUZUDENIAODAOBANNIANMO,ZHESHIYIZHONGHENXINYINGDESHOUSHUCHUANGXIN,NENGJIANDANJIESHAOXIAMA?

  陳文:尿道下裂看似并不復雜,但從最初的廣泛嘗試到如今的成熟穩定,其手術演變經歷了漫長的過程。從最早記載的希臘時期治療方法算起,歷史上曾有200多種治療尿道下裂的手術方法。到了二十世紀初,隨著整形外科的創立和發展,組織移植技術被運用到尿道下裂治療中,缺損尿道的修復得以徹底解決,真正意義上的尿道下裂修復方法得以確立。

 

(CHENWENZHUNBEIKAISHIYITAISHOUSHU)

 

  JINGGUOJIDAIZHENGXINGYISHENGDEBUDUANCHUANGXINHEFANGFAGAIJIN,GENJUHUANZHEDEBUTONGFENXINGHEYANZHONGCHENGDU,ZUIZHONGZAILINCHUANGZHONGCHANGYONGDESHOUSHUFANGFADADAOSHIYUZHONG。QIZHONG,CANLIUNIAODAOBANNIANMOZHONGJIANNIAODAOYINXIUFUNIAODAOXINGTAIHAO、SHUHOUYINJINGXINGTAIZIRANCHENGWEISHOUXUANFANGFA,DANSHIDABUFENNIAODAOXIALIEDECANLIUNIAODAOBANNIANMOBUZUYIZHONGJIANWANZHENGNIAODAO。WOCHANGSHICAIYONGKOUQIANGNIANMOYIZHI,ZHENGSHIWEILEJIEJUEZHEGEWENTI。XINGYUNDESHI,CONGLINCHUANGXIAOGUOKAN,TAMINGXIANGAISHANLEZHONGJIANXIAOGUO,MUQIANYIBEIPUBIANJIESHOU,BINGCHENGWEIYIZHONGXINDESHOUSHUFANGFA。

幸运飞艇玩的群  BUTONGYUDADUOSHUWAIKESHOUSHUZHILIAO,NIAODAOXIALIEHUANZHEWANGWANGJIUZHENNIANLINGXIAO,TAMENBUJINYAOZHILIAOJIBINGHUIFUGONGNENG,YEKEWANGZHUZAICHANGDAHOUYONGYOUXINGTAIHEGONGNENGDOUQUYUZHENGCHANGDEWAISHENGZHIQI。YINCI,WOTICHULEXIUFUYUZHONGSUBINGJUDECHUANGXINSHOUSHUFANGFA,JIUSHIXIWANGZAIZAOQITONGGUOSHOUSHU,CONGGONGNENGYUXINGTAISHANGCHEDIJIEJUEWENTI。ZAIWOMENZHELI,SHUHOUXUDADAODEXIAOGUOMINGQUEJUTI,BAOKUOXIUFUNIAODAO、YINJINGJIAOZHI、XIUFUFENLIEDEYINJINGTOU、LIEXINIAODAOWAIKOUWEIYUYINJINGTOUYUANDUAN、BAOLIUWANZHENGDEBAOPIZUZHIBINGBAOGUOYINJINGTOUDENG。

 

  患者逐漸低齡化 醫生團隊擴展到更大范圍

幸运飞艇玩的群  JIZHE:RUNINSUOSHUO,ZAIWOGUOYOUDALIANGXUYAOZHILIAODEHUANZHE,DANSANJIAYIYUANSHELINIAODAOXIALIEZHUANKEDEJINYOUNIMENYIJIA,ZHEGEMAODUNZENMEJIEJUE?

  CHENWEN:NIAODAOXIALIESHOUSHUKANSIBUDA,QUESHIWAIKESHOUSHUZHONGGONGRENDEGAONANDUSHOUSHU。YINCI,ZAINIAODAOXIALIEZHILIAOBINGBUPUJIDESHIDAI,YILIAOZIYUANZHUYAOJIZHONGZAIGUONEIZHIMINGYIYUANDENIAODAOXIALIEZHUANKE,NENGGENJUHUANZHEGERENFENXING,ZAIZHONGDUOSHOUSHUFANGFAZHONGCAIQUZUIJIAFANGAN、BAOZHENGZHIYUDECHENGSHUYISHENGCHENGWEIHUANZHEDESHOUXUAN。

 

(CHENWENCHAKANZHUYUANHUANER)

 

  如今,尿道下裂幸运飞艇玩的群治療日益普及,且功能治療已基本攻克,診療醫生也擴展到更大范圍。一方面,尋求治療的患者更為低齡化,小兒尿道下裂的手術不斷增加,作為首診醫生的小兒泌尿外科醫生逐漸介入尿道下裂的治療,他們在實踐的基礎上,不斷引入整形外科技術和理念,掌握標準化手術方法,成為尿道下裂治療的新興團隊。

幸运飞艇玩的群  LINGYIFANGMIAN,SUIZHUYUANJIANJIAOLIUHEYISHENGXIETONGDERIYIPINFAN,DALIANGJICENGYIYUANDEYISHENGHUODELEXUEXINIAODAOXIALIESHOUSHUJISHUDEJIHUI。SUIZHUHUANZHEZHILIAOYIYUANDEBUDUANTISHENG,JICENGYIYUANYEKAISHISHOUZHIBUTONGNIANLING、BUTONGFENXINGDENIAODAOXIALIEHUANZHE,BINGNENGKAIZHANYOUXIAOZHILIAO。

  DANGRAN,CONGWOMENNIAODAOXIALIEZHONGXINDEJIAODUKAN,ZAIRICHANGGONGZUOZHONGCAIYONGCHUANGXINFANGFA,BUDUANTIGAOSHOUSHUXIAOGUOHENZHONGYAO,JIJIKAIZHANJICENGYIYUANGONGYIHUIZHENHEPEIXUNTONGYANGZHONGYAO,ZHEYICHENGWEIWOMENZHONGXINDEZHONGYAOGONGZUOZHIYI。WOMENXIWANGTONGGUOZIJIDENULI,RANGGENGDUOJICENGYIYUANDEYISHENGZHANGWOZHENGXINGWAIKEFENGHEJIQIAOHESHOUSHUFANGFA,TISHENGJICENGYIYUANNIAODAOXIALIEZHILIAOSHUIPINGDETISHENG,ZAOFUQUANGUOHUANZHE。(WEN/BENBAOJIZHE ZHENGYINGFAN)