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  <id>http://drbird.pixnet.net/blog</id>
  <title><![CDATA[小鳥醫生的部落格:: 痞客邦 PIXNET ::]]></title>
  <author>
    <name>drbird</name>
    <email>drbird@not-valid.com</email>
  </author>
  <updated>2009-03-20T01:48:55+08:00</updated>
  <published>2009-03-20T01:48:55+08:00</published>
  <link rel="self" href="http://drbird.pixnet.net/blog" hreflang="zh"/>
  <subtitle><![CDATA[媽媽帶男孩來複診，臉上掛著開心的笑容，一進門就說：「醫生，已經好很多了呢！而且剛剛他在外面還一直跟我說：『媽媽，我已經好了啦！妳叫小鳥醫生別再擠我的鳥鳥了！好痛喔！』」我不禁噗嗤笑了出來，如果沒必要，我也不願意「辣手摧鳥」啊！不過還是第一次有人當面這麼叫我--「小鳥醫生」，哈哈！真有趣！ ]]></subtitle>
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  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/26832132</id>
    <title><![CDATA[防老公包二奶 姊妹陰道整形]]></title>
    <updated>2009-03-20T01:48:55+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/26832132"/>
    <summary><![CDATA[2007/08/10 18:41


防老公包二奶 姊妹陰道整形
 更新日期: 2007/08/09 07:20 記者:記者陳亮諭／台中報導 


台中市兩姊妹的老公都在大陸工作，耳聞大陸女子為了扮好二奶角色，還參加性愛訓練班，她們擔心老公有外遇，無意間知道嬸嬸曾動過陰道整形手術，至今夫妻感情美滿，於是鼓起勇氣動手術，欲找回「性」福。
中國附醫整形外科主任張家寧說，以往動陰道整形手術為前衛女性，但近來陰道整形患者，大都是老公在大陸工作，7月整形人數增多1倍。
台中市這對姊妹的妹妹先動手術，結果老公十分滿意，還主動支付手術費；因姊姊的丈夫初到大陸工作，看著妹妹生活「性」福，今年7月也動了陰道整形手術，待老公回台要給他「驚喜」。
張家寧說，女人的陰道為平滑肌，性行為時才伸延擴展它的彈性，婦女常經生產過程，使陰道彈性鬆弛破壞，使性生活大受影響。
她指出，陰道整形術又稱陰道緊實術，治療方式從陰道外口切除鬆弛組織，對陰道內壁黏膜縫合，把鬆弛陰道的內徑縮小，達到緊實效果；手術時間約1至2小時，當天即可出院，以點滴從靜脈注射藥物睡著再動手術，患者不會有痛楚記憶，癒後4至6周可行房。
張家寧說，過去該手術患者每月僅個位數，7月竟增1倍以上，年紀約在35至50歲間，坊間診所這項手術價位在2到4萬。
不過她建議，婦女坐月子期間，不妨有空就作提臀運動，有效緊縮陰道，但夫妻情感經營，不單靠肌膚之親，需多花心思在生活互動，找回相識初衷的熱情。
&nbsp;
⊙甜蜜性事／陰道整型要徹底才能重拾閨房樂。 
生過小孩的人，由於胎頭的擠壓，因此陰道鬆弛會陰也裂開，尤其在「性高潮」 扮演重要角色的陰道三分之一處的恥骨尾骨肌（具有陰道括約功能）的收縮力大 為減弱。這使得行房時，男人如入無人之境，大嘆：「它！抓不住我！」女人也 大嘆：「我！抓不住它！」久而久之，夫妻感情變色，甚至出軌者大有人在。 
女性高潮的「享受感」比男人強許多，男性高潮約八秒，女性可達二十秒以上， 女性如何在短時間衝上雲霄，享受多重高潮，恥骨尾骨肌的功能不可忽視。簡而 言之，女人高潮由陰道括約肌強烈收縮，再刺激性感帶，若是恥骨尾骨肌收縮不 夠強烈，或在生產時受到創傷，婦產科醫師又沒有修補，要享受高潮就不太容易 了。 
「高潮」來襲，恥骨尾骨肌以每隔0.9秒收縮一次，產生反應後，子宮也以每0.9秒率頻率上下「抖」動（子宮高潮），這一系列的收縮抖動就是高潮來臨！ 
若是妳沒有上述感覺，可以練習以下運動：把三隻 指頭放入陰道內，陰道收縮使手指可以感到收縮的力量，尤其三十歲以上的婦女 ，一天做兩次，一次十五下，連續兩週。但有些上了年紀的女人，即使每天做， 也會因無法自主控制肌肉收縮而失效。 
這時您可能要藉助「陰道整型術」。不過，仍有些醫師會誤認：陰道整型術只是把陰道縫窄一點而已。錯了！如果僅如此做，非但無效，而且「用 」沒幾次就「故態復萌」，妳依然高唱：「我！抓不住它！！」 
女人的陰道，原本是一個皺摺互疊的腔道，若是因為太寬鬆，以致連「凱格爾運 動」都失效時，可以做陰道修補術，一般可分為三種： 　 
(一)後陰道壁修補術(二)前陰道壁修補術&nbsp;(三)生產時順道做會陰修補術。 



]]></summary>
    <content type="html"><![CDATA[<h2>2007/08/10 18:41</h2>
<div class="msgcontent">
<div>
<h1><span style="background-color: #ff80ff;">防老公包二奶 姊妹陰道整形</span></h1>
<div><a href="http://tw.rd.yahoo.com/referurl/news/logo/udn//SIG=10mtbc8eb/*http://udn.com/NEWS/" target="_blank"><img src="http://tw.yimg.com/i/tw/news/newspartner2006/udn.jpg" alt="聯合" /></a> <span>更新日期: 2007/08/09 07:20</span> 記者:記者陳亮諭／台中報導 </div>
<div>
<div style="font-size: 122%;">
<p><span style="background-color: #ff80ff;">台中市兩姊妹的老公都在大陸工作，耳聞大陸女子為了扮好二奶角色，還參加性愛訓練班，她們擔心老公有外遇，無意間知道嬸嬸曾動過陰道整形手術，至今夫妻感情美滿，於是鼓起勇氣動手術，欲找回「性」福。</span></p>
<p>中國附醫整形外科主任張家寧說，以往動陰道整形手術為前衛女性，但近來陰道整形患者，大都是老公在大陸工作，7月整形人數增多1倍。<!-- more --></p>
<p><span style="background-color: #00ffff;">台中市這對姊妹的妹妹先動手術，結果老公十分滿意，還主動支付手術費；因姊姊的丈夫初到大陸工作，看著妹妹生活「性」福，今年7月也動了陰道整形手術，待老公回台要給他「驚喜」。</span></p>
<p>張家寧說，女人的陰道為平滑肌，性行為時才伸延擴展它的彈性，婦女常經生產過程，使陰道彈性鬆弛破壞，使性生活大受影響。</p>
<p>她指出，陰道整形術又稱陰道緊實術，治療方式從陰道外口切除鬆弛組織，對陰道內壁黏膜縫合，把鬆弛陰道的內徑縮小，達到緊實效果；手術時間約1至2小時，當天即可出院，以點滴從靜脈注射藥物睡著再動手術，患者不會有痛楚記憶，癒後4至6周可行房。</p>
<p>張家寧說，過去該手術患者每月僅個位數，7月竟增1倍以上，年紀約在35至50歲間，坊間診所這項手術價位在2到4萬。</p>
<p>不過她建議，婦女坐月子期間，不妨有空就作提臀運動，有效緊縮陰道，但夫妻情感經營，不單靠肌膚之親，需多花心思在生活互動，找回相識初衷的熱情。</p>
<p>&nbsp;</p>
<p>⊙甜蜜性事／陰道整型要徹底才能重拾閨房樂。 </p>
<p>生過小孩的人，由於胎頭的擠壓，因此陰道鬆弛會陰也裂開，尤其在「性高潮」 扮演重要角色的陰道三分之一處的恥骨尾骨肌（具有陰道括約功能）的收縮力大 為減弱。這使得行房時，男人如入無人之境，大嘆：「它！抓不住我！」女人也 大嘆：「我！抓不住它！」久而久之，夫妻感情變色，甚至出軌者大有人在。 </p>
<p>女性高潮的「享受感」比男人強許多，男性高潮約八秒，女性可達二十秒以上， 女性如何在短時間衝上雲霄，享受多重高潮，恥骨尾骨肌的功能不可忽視。簡而 言之，女人高潮由陰道括約肌強烈收縮，再刺激性感帶，若是恥骨尾骨肌收縮不 夠強烈，或在生產時受到創傷，婦產科醫師又沒有修補，要享受高潮就不太容易 了。 </p>
<p>「高潮」來襲，恥骨尾骨肌以每隔0.9秒收縮一次，產生反應後，子宮也以每0.9秒率頻率上下「抖」動（子宮高潮），這一系列的收縮抖動就是高潮來臨！ </p>
<p>若是妳沒有上述感覺，可以練習以下運動：把三隻 指頭放入陰道內，陰道收縮使手指可以感到收縮的力量，尤其三十歲以上的婦女 ，一天做兩次，一次十五下，連續兩週。但有些上了年紀的女人，即使每天做， 也會因無法自主控制肌肉收縮而失效。 </p>
<p>這時您可能要藉助「陰道整型術」。不過，仍有些醫師會誤認：陰道整型術只是把陰道縫窄一點而已。錯了！如果僅如此做，非但無效，而且「用 」沒幾次就「故態復萌」，妳依然高唱：「我！抓不住它！！」 </p>
<p>女人的陰道，原本是一個皺摺互疊的腔道，若是因為太寬鬆，以致連「凱格爾運 動」都失效時，可以做陰道修補術，一般可分為三種： 　 </p>
<p>(一)後陰道壁修補術(二)前陰道壁修補術&nbsp;(三)生產時順道做會陰修補術。 </p>
</div>
</div>
</div>
</div>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/26832132">(Read More...)</a></div>]]></content>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/26807241</id>
    <title><![CDATA[玩大怒神　男子精索靜脈曲張加重睪丸脹痛]]></title>
    <updated>2009-03-18T19:25:19+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/26807241"/>
    <summary><![CDATA[&nbsp;




（中央社記者吳哲豪彰化縣5日電）一名21歲男子去遊樂園玩自由落體「大怒神」後，感覺左邊睪丸有脹痛感覺，經診斷後確認為精索靜脈曲張。醫師表示，男子可能原就有輕微症狀，高速自由落體後，症狀更嚴重。
彰化秀傳醫院泌尿科醫師林美吟說，21歲的王姓男子過年時到遊樂園玩自由落體「大怒神」遊樂機具，從大怒神下來後左邊睪丸有脹痛的感覺，站立時睪丸有沉重感，左側陰囊皮膚看起來像暴青筋。
林美吟表示，王姓男子到醫院求診，診治後確認為精索靜脈曲張，推論男子本來就有輕微的精索靜脈曲張，在玩大怒神時，高速的自由落體使血液無法回流，使症狀明顯，經手術後已痊癒。
林美吟解釋，靜脈曲張指的是靜脈瓣膜功能不全，血液逆流，加上站立時產生高壓，血管壓力增加，導致血管擴張，精索靜脈曲張也是一樣的原理，只是發生的部位在睪丸。不過，有時血液無法回流，會造成睪丸溫度上升，精蟲活動力會變慢，有可能不孕。
林美吟指出，精索靜脈曲張通常在左側發生的機率比右側高，而患者在站立時因睪丸內的靜脈會膨脹起來，有的人睪丸會有沉重的感覺；躺下的時候，因積聚在睪丸靜脈內的血液會流走，曲張的情形會暫時消失。
林美吟解釋，治療精索靜脈曲張通常是進行手術，將精索靜脈結紮，也可以用腹腔鏡手術或在X光透視下用血管栓塞的方法將精索靜脈堵塞。
林美吟提醒，患者如果沒有睪丸痠痛的現象，精蟲檢查也正常，可以暫時不用手術治療，只需要注意不要穿太緊的褲子，以免陰囊內的溫度更高。





]]></summary>
    <content type="html"><![CDATA[<p><img title="m" src="http://pic.pimg.tw/drbird/49c0da89d71a6.jpg" border="0" alt="m" />&nbsp;</p>
<table style="width: 640px;" border="0" cellspacing="0" cellpadding="4">
<tbody>
<tr>
<td><span id="article" class="idx1">
<p>（中央社記者吳哲豪彰化縣5日電）一名21歲男子去遊樂園玩自由落體「大怒神」後，感覺左邊睪丸有脹痛感覺，經診斷後確認為精索靜脈曲張。醫師表示，男子可能原就有輕微症狀，高速自由落體後，症狀更嚴重。</p>
<p>彰化秀傳醫院泌尿科醫師林美吟說，21歲的王姓男子過年時到遊樂園玩自由落體「大怒神」遊樂機具，從大怒神下來後左邊睪丸有脹痛的感覺，站立時睪丸有沉重感，左側陰囊皮膚看起來像暴青筋。</p>
<p>林美吟表示，王姓男子到醫院求診，診治後確認為精索靜脈曲張，推論男子本來就有輕微的精索靜脈曲張，在玩大怒神時，高速的自由落體使血液無法回流，使症狀明顯，經手術後已痊癒。</p>
<p>林美吟解釋，靜脈曲張指的是靜脈瓣膜功能不全，血液逆流，加上站立時產生高壓，血管壓力增加，導致血管擴張，精索靜脈曲張也是一樣的原理，只是發生的部位在睪丸。不過，有時血液無法回流，會造成睪丸溫度上升，精蟲活動力會變慢，有可能不孕。</p>
<p>林美吟指出，精索靜脈曲張通常在左側發生的機率比右側高，而患者在站立時因睪丸內的靜脈會膨脹起來，有的人睪丸會有沉重的感覺；躺下的時候，因積聚在睪丸靜脈內的血液會流走，曲張的情形會暫時消失。</p>
<p>林美吟解釋，治療精索靜脈曲張通常是進行手術，將精索靜脈結紮，也可以用腹腔鏡手術或在X光透視下用血管栓塞的方法將精索靜脈堵塞。</p>
<p>林美吟提醒，患者如果沒有睪丸痠痛的現象，精蟲檢查也正常，可以暫時不用手術治療，只需要注意不要穿太緊的褲子，以免陰囊內的溫度更高。</p>
</span><!--<span id='knowledgelife_button'></span>--><!-- YamAD_699 -->
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    <id>http://drbird.pixnet.net/blog/post/22154966</id>
    <title><![CDATA[取精室 Ａ片堂堂上陣]]></title>
    <updated>2008-09-29T22:53:25+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/22154966"/>
    <summary><![CDATA[「啥？Ａ片也可以用來治病喔？」男人聽到可能要暗自竊喜，這下子可以光明正大看Ａ片了。  &nbsp;Ａ片用在臨床，很多人第一個想到的是，不孕症醫療院所的取精室，這裡大概是醫院除了新生寶寶室以外，最令人好奇的地方了。 婦產科醫師為了替女性助孕，很可能需要看男方精液品質好不好，譬如，精蟲數量是否足夠？精蟲活動力強不強？還要在每次射精的上億精蟲中，篩檢「馬力十足」的衝鋒軍，以助勇猛達陣找到那位「公主」（卵子）。 「取精室只有兩坪大，Ａ片不夠新，也不敢轉太大聲，怕Ａ片女星叫聲傳出去。」一位年將50歲男性，拗不過太座要求，前去做不孕症治療，醫師先要他取精測品質，後來又取一次，準備放入太太體內，但陌生的取精室，讓他試了好久，才能交差。&nbsp;&nbsp;男人上泌尿科看性功能障礙，有時醫師要驗男性荷爾蒙睪固酮指數，瞭解有否分泌不足。這個時候，Ａ片也派上用場。&nbsp;&nbsp;彰化秀傳醫院泌尿科主治醫師林美吟說，治療陽萎病人時，有時必須在其陰莖海綿體注射前列腺素，協助血管放鬆，增加陰莖充血機會，進而讓「小弟弟升國旗」。 但遇到反應比較差的病人，即使注射前列腺素，陰莖也沒辦法「翹翹」，醫師會請病人到取精室看看Ａ片，看反應會不會好一點，再做接下來的治療評估。 對於性趣缺缺的病人，醫師也會建議「要有適度刺激」（如看Ａ片），長時間下來，身體製造睪固酮的能力說不定會提升。&nbsp;&nbsp;【2008/09/14 元氣周報】 ]]></summary>
    <content type="html"><![CDATA[<P>「啥？Ａ片也可以用來治病喔？」男人聽到可能要暗自竊喜，這下子可以光明正大看Ａ片了。 </P> <P>&nbsp;Ａ片用在臨床，很多人第一個想到的是，不孕症醫療院所的取精室，這裡大概是醫院除了新生寶寶室以外，最令人好奇的地方了。 婦產科醫師為了替女性助孕，很可能需要看男方精液品質好不好，譬如，精蟲數量是否足夠？精蟲活動力強不強？還要在每次射精的上億精蟲中，篩檢「馬力十足」的衝鋒軍，以助勇猛達陣找到那位「公主」（卵子）。 「取精室只有兩坪大，Ａ片不夠新，也不敢轉太大聲，怕Ａ片女星叫聲傳出去。」一位年將50歲男性，拗不過太座要求，前去做不孕症治療，醫師先要他取精測品質，後來又取一次，準備放入太太體內，但陌生的取精室，讓他試了好久，才能交差。&nbsp;&nbsp;男人上泌尿科看性功能障礙，有時醫師要驗男性荷爾蒙睪固酮指數，瞭解有否分泌不足。這個時候，Ａ片也派上用場。&nbsp;&nbsp;彰化秀傳醫院泌尿科主治醫師林美吟說，治療陽萎病人時，有時必須在其陰莖海綿體注射前列腺素，協助血管放鬆，增加陰莖充血機會，進而讓「小弟弟升國旗」。 但遇到反應比較差的病人，即使注射前列腺素，陰莖也沒辦法「翹翹」，醫師會請病人到取精室看看Ａ片，看反應會不會好一點，再做接下來的治療評估。 對於性趣缺缺的病人，醫師也會建議「要有適度刺激」（如看Ａ片），長時間下來，身體製造睪固酮的能力說不定會提升。&nbsp;&nbsp;【2008/09/14 元氣周報】 </P>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/22154966">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/22154966#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/21932071</id>
    <title><![CDATA[輸尿管腎臟內視鏡碎石術]]></title>
    <updated>2008-09-18T23:40:24+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/21932071"/>
    <summary><![CDATA[&nbsp; 輸尿管結石建議手術原因：尿路結石可能導致(1)疼痛(2)血尿(3)尿路感染發炎(4)甚至損壞腎功能。實施輸尿管腎臟內視鏡可有效擊碎結石、清除結石，改善腎臟輸尿管阻塞水腫。 介紹：  輸尿管腎臟內視鏡碎石術 半身麻醉或全身麻醉之後將內視鏡從尿道經過膀胱，進入輸尿管及腎臟，目視到結石之後利用水電波、氣動碎石器或鈥鐳射將結石擊碎，並可取出結石碎片提供分析結石成分，手術後如有需要可能放置一條雙J型輸尿管導管，預防輸尿管阻塞、幫忙消除腎水腫。 手術之成功率：手術之成功率取決於結石大小、成分、部位、輸尿管結構及技術、設備。一般而言，下段輸尿管結石成功率為98~100%，上段輸尿管結石成功率為85~90%，如果合併有輸尿管狹窄、扭曲、息肉、發炎等情形，會增加手術困難度。需要輸血的機會非常低、少於1%。 沒有任何手術（或醫療處置）是完全沒有風險的，以下所列的風險已被醫學專家認定，但是仍然可能有一些醫師無法預期的風險未列出。  美國泌尿科醫學會期刊&nbsp;Journal&nbsp;of&nbsp;Urology（2001年vol.166 p538）對多達322次手術併發症的統計，可能的併發症如下：       併發症  機率  處理方式   暫時性腰痛  9.6%  藥物治療   輸尿管組織腫脹或結石碎粒阻塞輸尿管  0.3%  體外震波碎石術或再次內視鏡手術   暫時性排尿困難  0.9%  藥物治療或暫時放置導尿管   尿路感染、敗血症  1.5%  藥物治療   輸尿管受傷  4.6%  放置輸尿管導管或實施手術   其他：暫時性血尿、膀胱血塊等  &nbsp;  藥物治療或膀胱鏡血塊清除術 不實施手術之後果及其他可替代之治療方式：尿路結石如果沒有積極處理，可能產生血尿、尿路發炎感染、甚至泌尿系統、腎功能受損。若病人因某些因素不適合接受這種手術，可能考慮的替代方案為：1.藥物治療（僅對小型結石或某些特殊成分結石有效）。2.體外震波碎石術。3.經皮腎造廔取石術。4.傳統開刀取石術。 &nbsp;]]></summary>
    <content type="html"><![CDATA[<P>&nbsp;</P> <P><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: зũ; mso-hansi-font-family: зũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">輸尿管結石</SPAN></STRONG><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-size: 11.0pt">建議手術原因：</SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">尿路結石可能導致</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(1)</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">疼痛</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(2)</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">血尿</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(3)</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">尿路感染發炎</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(4)</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">甚至損壞腎功能。實施輸尿管腎臟內視鏡可有效擊碎結石、清除結石，改善腎臟輸尿管阻塞水腫。</SPAN></P> <P><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt"></SPAN></STRONG><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-size: 11.0pt">介紹：</SPAN></STRONG><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P><!-- more --></P> <P>輸尿管腎臟內視鏡碎石術</P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">半身麻醉或全身麻醉之後將</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">內視鏡從尿道經過膀胱，進入輸尿管及腎臟，目視到結石之後利用水電波、氣動碎石器或鈥鐳射將結石擊碎，並可取出結石碎片提供分析結石成分，手術後如有需要可能放置一條雙</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">J</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">型輸尿管導管，預防輸尿管阻塞、幫忙消除腎水腫。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-size: 11.0pt">手術之成功率：</SPAN></STRONG><STRONG><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR></SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">手術之成功率取決於結石大小、成分、部位、輸尿管結構及技術、設備。一般而言，下段輸尿管結石成功率為</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">98~100%</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">，上段輸尿管結石成功率為</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">85~90%</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">，如果合併有輸尿管狹窄、扭曲、息肉、發炎等情形，會增加手術困難度。需要輸血的機會非常低、少於</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">1%</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">沒有任何手術（或醫療處置）是完全沒有風險的，以下所列的風險已被醫學專家認定，但是仍然可能有一些醫師無法預期的風險未列出。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <OL type=1> <LI class=MsoNormal style="MARGIN: 0cm 0cm 0pt; COLOR: #333333; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; tab-stops: list 36.0pt; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">美國泌尿科醫學會期刊</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">&nbsp;Journal&nbsp;of&nbsp;Urology</SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">2001</SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">年</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">vol.166 p538</SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">）對多達</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">322</SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">次手術併發症的統計，可能的併發症如下：</SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US></SPAN></SPAN></LI></OL> <P> <TABLE class=MsoNormalTable style="MARGIN: auto auto auto 9.35pt; WIDTH: 404pt; BORDER-COLLAPSE: collapse; mso-border-alt: outset #111111 .75pt; mso-yfti-tbllook: 1184; mso-padding-alt: 2.25pt 2.25pt 2.25pt 2.25pt" cellSpacing=0 cellPadding=0 width=539 border=1> <TBODY> <TR style="mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #111111 1pt inset; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">併發症</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #111111 1pt inset; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">機率</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #111111 1pt inset; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">處理方式</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR> <TR style="mso-yfti-irow: 1"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">暫時性腰痛</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">9.6%</SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">藥物治療</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR> <TR style="mso-yfti-irow: 2"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">輸尿管組織腫脹或結石碎粒阻塞輸尿管</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">0.3%</SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">體外震波碎石術或再次內視鏡手術</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR> <TR style="mso-yfti-irow: 3"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">暫時性排尿困難</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">0.9%</SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">藥物治療或暫時放置導尿管</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR> <TR style="mso-yfti-irow: 4"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">尿路感染、敗血症</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">1.5%</SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">藥物治療</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR> <TR style="mso-yfti-irow: 5"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">輸尿管受傷</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">4.6%</SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">放置輸尿管導管或實施手術</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR> <TR style="mso-yfti-irow: 6; mso-yfti-lastrow: yes"> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #111111 1pt inset; WIDTH: 7cm; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=265> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">其他：暫時性血尿、膀胱血塊等</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 28.5pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=38> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">&nbsp;</SPAN></P></TD> <TD style="BORDER-RIGHT: #111111 1pt inset; PADDING-RIGHT: 2.25pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 2.25pt; PADDING-BOTTOM: 2.25pt; BORDER-LEFT: #ece9d8; WIDTH: 177.05pt; PADDING-TOP: 2.25pt; BORDER-BOTTOM: #111111 1pt inset; BACKGROUND-COLOR: transparent; mso-border-alt: inset #111111 .75pt; mso-border-left-alt: inset #111111 .75pt; mso-border-top-alt: inset #111111 .75pt" vAlign=top width=236> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">藥物治療或膀胱鏡血塊清除術</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P></TD></TR></TBODY></TABLE></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">不實施手術之後果及其他可替代之治療方式：</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">尿路結石如果沒有積極處理，可能產生血尿、尿路發炎感染、甚至泌尿系統、腎功能受損。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">若病人因某些因素不適合接受這種手術，可能考慮的替代方案為：</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR>1.</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">藥物治療（僅對小型結石或某些特殊成分結石有效）。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR>2.</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">體外震波碎石術。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR>3.</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">經皮腎造廔取石術。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: 'өũ','serif'; LETTER-SPACING: 0.65pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR>4.</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #333333; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.65pt; mso-ascii-font-family: өũ; mso-hansi-font-family: өũ; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">傳統開刀取石術。</SPAN></P> <P>&nbsp;</P>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/21932071">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/21932071#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/19871141</id>
    <title><![CDATA[小鳥醫生的門診時間]]></title>
    <updated>2008-09-13T02:37:57+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/19871141"/>
    <summary><![CDATA[&nbsp;
尚美泌尿科診所溫馨開張
&nbsp;
診所網址：http://www.sunmeiclinic.com
住址：台中市南屯區大墩二街112號
電話：04-24726200
.&nbsp; [門診時間]




時段/星期


星期一


星期二


星期三


星期四


星期五


星期六


星期日




9:00~12:00


◎


◎


◎


◎


◎


◎


結紮包皮自費手術(採預約制)




14:30~17:30


限約診


◎




18:30~21:30


◎


◎


◎


◎


◎


&nbsp;





&nbsp;

&nbsp; ]]></summary>
    <content type="html"><![CDATA[<p>&nbsp;</p>
<p style="text-align: center;"><strong><span style="font-family: 標楷體;"><span style="font-size: 24pt;">尚美泌尿科診所溫馨</span><span style="font-size: 24pt;">開張</span></span></strong></p>
<p><span style="font-family: '華康標楷體(P)';"><span style="font-size: 14pt;"><img title="診所 map  no bus.jpg" src="http://pic.pimg.tw/drbird/4ac04a25e8477.jpg" border="0" alt="診所 map  no bus.jpg" width="363" height="326" /><img title="傳單 背.jpg" src="http://pic.pimg.tw/drbird/4b263bac97825.jpg?v=1260796848" border="0" alt="傳單 背.jpg" />&nbsp;</span></span></p>
<p><span style="font-family: '華康標楷體(P)';"><span style="font-size: 14pt;">診所網址：</span></span><a href="http://www.sunmeiclinic.com/"><span style="font-family: '華康標楷體(P)';"><span style="font-size: 14pt;">http://www.sunmeiclinic.com</span></span></a></p>
<p><span style="font-family: '華康標楷體(P)';"><span style="font-size: 14pt;">住址：台中市南屯區大墩二街112號</span></span></p>
<p><span style="font-family: '華康標楷體(P)';"><span style="font-size: 14pt;">電話：04-24726200</span></span></p>
<p style="TEXT-ALIGN: center">.&nbsp; <span style="FONT-FAMILY: 新細明體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'"><span style="FONT-SIZE: medium; FONT-FAMILY: 標楷體"><span style="FONT-SIZE: large"><span style="BACKGROUND-COLOR: #c0c0c0"><strong>[<span style="FONT-FAMILY: 新細明體">門</span></strong></span><span style="BACKGROUND-COLOR: #c0c0c0"><span style="FONT-FAMILY: 新細明體"><strong>診時間]</strong></span></span></span></span></span></p>
<table style="width: 588px; height: 165px;" border="1" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<td style="border-right: black 1pt solid; padding-right: 7.2pt; border-top: black 2.25pt solid; padding-left: 7.2pt; padding-bottom: 3.6pt; border-left: black 2.25pt solid; padding-top: 3.6pt; border-bottom: black 1pt solid;" width="104" valign="top">
<p style="margin: 0cm -7.2pt 0pt -7.1pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">時段/星期</span></span></p>
</td>
<td style="border-right: black 1pt solid; padding-right: 7.2pt; border-top: black 2.25pt solid; padding-left: 7.2pt; padding-bottom: 3.6pt; border-left: medium none; padding-top: 3.6pt; border-bottom: black 1pt solid;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期一</span></span></p>
</td>
<td style="border-right: black 1pt solid; padding-right: 7.2pt; border-top: black 2.25pt solid; padding-left: 7.2pt; padding-bottom: 3.6pt; border-left: medium none; padding-top: 3.6pt; border-bottom: black 1pt solid;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期二</span></span></p>
</td>
<td style="border-right: black 1pt solid; padding-right: 7.2pt; border-top: black 2.25pt solid; padding-left: 7.2pt; padding-bottom: 3.6pt; border-left: medium none; padding-top: 3.6pt; border-bottom: black 1pt solid;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期三</span></span></p>
</td>
<td style="border-right: black 1pt solid; padding-right: 7.2pt; border-top: black 2.25pt solid; padding-left: 7.2pt; padding-bottom: 3.6pt; border-left: medium none; padding-top: 3.6pt; border-bottom: black 1pt solid;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期四</span></span></p>
</td>
<td style="border-right: black 1pt solid; border-top: black 2.25pt solid; border-left: medium none; border-bottom: black 1pt solid; padding: 0cm;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期五</span></span></p>
</td>
<td style="border-right: black 1pt solid; border-top: black 2.25pt solid; border-left: medium none; border-bottom: black 1pt solid; padding: 0cm;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期六</span></span></p>
</td>
<td style="border-right: black 2.25pt solid; padding-right: 7.2pt; border-top: black 2.25pt solid; padding-left: 7.2pt; padding-bottom: 3.6pt; border-left: medium none; padding-top: 3.6pt; border-bottom: black 1pt solid;" width="66" valign="top">
<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">星期日</span></span></p>
</td>
</tr>
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<p style="margin: 0cm -7.2pt 0pt; text-align: center;" align="center"><span style="font-family: 標楷體;"><span style="font-size: 14pt;">結紮包皮自費手術(採預約制)</span></span></p>
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<p><span lang="EN-US">&nbsp;</span></p>
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<p>&nbsp; </p>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/19871141">(Read More...)</a></div>]]></content>
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  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/21826131</id>
    <title><![CDATA[萬綠叢中一點紅－泌尿科女醫師的甘苦談]]></title>
    <updated>2008-09-13T02:21:00+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/21826131"/>
    <summary><![CDATA[&nbsp; &nbsp;   (左起:張美玉醫師,劉昕和醫師,林美吟醫師,余明螢醫師) &nbsp;  &nbsp; 根據統計，目前全台共有9位女泌尿科專科醫師，而這9位專科醫師當中，自第1位女醫師－唐麗光醫師於民國83年取得泌尿科專科醫師證照後，接連有張美玉醫師(於民國87考取)、劉昕和醫師(民國93考取)、李苑如醫師(民國93年考取)、林美吟醫師(民國95考取)、許如麗醫師(民國95考取)、曾淑芬醫師(民國95年考取)，最近分別又有王禎薇醫師、張毓珊醫師2位醫師於民國96年考取，這顯示在現代進步開放的社會中，性別不再是選擇工作的阻礙，有越來越多女醫師願意投身泌尿科的工作行列，於台灣各區為病患服務。 &nbsp; 全台女泌尿科專科醫師及其服務單位      &nbsp;&nbsp;　  姓名  服務單位   1  唐麗光  署立台東醫院泌尿科   2  張美玉  市立小港醫院泌尿外科   3  劉昕和  台中慈濟醫院   4  李苑如  台大醫院泌尿部   5  曾淑芬  高雄長庚醫院泌尿科   6  許如麗  屏東國仁醫院泌尿科   7  林美吟  彰化秀傳醫院泌尿科&nbsp;    8  張毓珊  中山醫學大學附醫泌尿科   9  王禎薇  台北醫學大學附設醫院泌尿科&nbsp;  選擇泌尿科的原因 &nbsp;&nbsp;&nbsp; 說到當初選擇泌尿科的來由，才發現大家的思考方向大不相同，劉昕和醫師提到，因為泌尿科除了本科的精進，還可以變化出多樣的發展，所以跟其他科比起來，還有一個好處就是進可攻退可守，不管是研究、專門做一些預防醫學，或者是跟健康檢查結合在一起，而且女性泌尿科如果同時有把乳癌和CRS（直腸外科）的部分再包含衛生教育，其實前景看好，有蠻大的市場，目前尚未有專門的女醫師來做這一塊。而泌尿科的手術日新月異，很多不再像以往需要「大刀闊斧」，劉醫師說精細的手術性質更有其吸引人之處： 應該是intern的時候，進去看泌尿科醫師開刀，我就想欸怎麼都坐著開刀啊，還不錯哦，而且一個小鏡子弄一弄就好了，好像覺得還蠻享受那個開刀過程的，心裡想說：『對！所以就選泌尿科。』 &nbsp; 另外，有的醫師覺得在外科體系中，泌尿科算是比較適合女生來做的科別，余明螢醫師回憶到：  &nbsp;我那時候會走泌尿科其實也是陰錯陽差，因為我本來沒有這個打算，我當實習醫生時完全沒有進過泌尿科的開刀房，但對外科有興趣，覺得泌尿科是體力負荷相對比較輕的科別，所以就來走泌尿科，一路學習下來還蠻有趣的。 &nbsp; 在住院醫師時期，張美玉醫師回憶接觸到病人的生離死別，感受極深： 當住院醫師第一年時其實人生的閱歷是相當淺的，尤其碰到癌症末期的病人往往令人不知所措，如何告訴癌末病人他即將走到人生的終點是一個大學問，也許當年我沒講該講的話。那一年一個才二十二歲的鄉下大男孩陰曩腫大已有兩年，父母是辛苦忙碌的勞動者，加上個性保守一直到陰曩非常腫大才來求診，診斷是睪丸癌合併後腹腔淋巴轉移，除了須接受睪丸切除，還必須將受一次又一次的化療，除了掉髮，他最不能忍受噁心、嘔吐與食不知味，一個年輕的住院女醫師當時是不太會鼓勵病人，當時我其實和他一樣徬徨無助。 半年後大男孩難以忍受化療副作用逃跑不做化療了，又幾個月後大男孩被帶回來，當時更虛弱瘦弱，經過檢查病情是完全失控了，大男孩很少詢問病情，常常望向窗外罷了，我們則向父母解釋不樂觀的病情，沒多久他出院了，我們從此再也沒見大男還回來複診。半年後偶然他家鄉的親戚生病住院，才知他後來自殺死了。也許我該多講些勉勵他的話，也許我該更鼓勵他說出自己的感受，也許我的表情不該透露絕望，如果重來，我想我會有些不一樣的做法，結局也許會不同？ &nbsp; 林美吟醫師則回憶起學長叮囑，在幫男病人看診或作檢查時，更要用體恤的心情去了解他們與女性不同的生理結構，所以更要小心謹慎： 第一次學長帶著我看膀胱鏡時，當經過膜狀尿道時，學長不忘提醒：輕一點！小心一點尿道才能彎進去，那裡很痛的，你沒那裡所以沒辦法感同身受喔!  劉昕和醫師憶起在當住院醫時，也是女醫師，發生特別的看診經驗： 當住院醫師時需要作一些局麻的小手術，曾有一次被病人婉轉的拒絕，堅持一定要男性醫師才能幫他主刀，我只好請出學長幫忙，但事實上學長負責的是安撫病人及陪病人聊天分散注意力，&nbsp;病人一直到結束都不知他的包皮其實是我這個女醫師處理的。 &nbsp; 女性泌尿科醫師的優勢與限制 泌尿科女醫師在整個泌尿科龐大體系中比例不是很高，僅占1.8%左右，這樣的性別趨勢有可能是優勢，也有可能帶來限制，端看女醫師如何去面對；從優勢的角度來看，求職時，如果訓練資歷和男生沒什麼差別，相對較容易被錄取，因為在這個醫療環境中，女醫師較具新鮮感，同時被市場接受的程度也較高；而說到限制則是對女性擔任泌尿科醫師的一體兩面的現象，大多是來自對女性的刻板印象，像是被男病人拒絕，看到是女醫師看診，直接在門口就走掉了；林美吟醫師笑著說：&nbsp; 其實像我當初當住院醫師的時候，外科的學長也跟我說，因為你是女生所以他們對你特別好。 &nbsp; 但這些優勢或是限制並不是絕對的，林美吟醫師這樣比喻： 因為我覺得老天爺給我們的牌是不一樣的，有人拿一手好牌也可以打出一個爛局來，牌怎麼出、你在什麼時候用你自己的牌，該學東西的時候你要學，該撒嬌的時候你要撒嬌，該去要東西的時候你要去要東西出來，所以那個是看你怎麼去運用你自己的牌去打出那個東西，沒有好跟不好。有的病人其實覺得跟女醫師講病情比較安心；我本來覺得我對男性性功能障礙的疾病有一點點排拒，可是後來發現其實不會啊，很多的男泌尿科醫師聽到男性性功能障礙也是不想收這個病人，也不是只有我們啊，所以其實是你要學著去接受身為女性泌尿科醫師帶來的優勢或限制，給自己try的時間，過一陣子之後它會給你一個學習的成果。 &nbsp; &nbsp;&nbsp;&nbsp; 衍伸相同的想法，像是性功能障礙，女醫師們也可以把它擴大照護的範圍，就像是GIN（骨盆腔脫垂、子宮脫垂），造福更多女性病患，也形成泌尿科女醫師另一項優勢。 &nbsp; 身為萬綠叢中一點紅的女性泌尿科醫師，張美玉醫師笑的說起尷尬又有趣的看診經驗： 剛當主治醫師對一些泌尿科的「行話」並不了解，也因此鬧了一些小笑話。譬如有一次有一個年輕的男病人一進診間告訴我他「流鼻涕」不舒服，我當下的反應是感冒流鼻涕應該去看耳鼻喉科，不是找我泌尿科醫師看診，原來流鼻涕指的是尿道口有黃色分泌物，是淋病尿道炎，真糗！ 又有一次病人告訴我他的主要問題是「倒陽」（台語發音），我自認台語很溜，但是這麼台的台語我實在是不懂何意，你懂嗎？原來病人是指他有陽痿的問題。 泌尿科又叫老人科，有不少病人是老人家，年紀大往往聽力變差，所以在診間常看到醫師扯開喉嚨大聲的跟病人交談，希望病人在有限的聽力下仍了解醫師努力想要解釋的病情，想不到時間一久往往不知不覺中與人交談往往是扯開嗓門大聲說話；有一次內科學妹會診，途中試著要讓學妹了解我即將執行的處置，不知不覺說話的聲音越來越大聲，幾乎是要講給重聽的人聽的高分貝語調，學妹突然很小聲的說：學姐我沒有重聽，你小聲的講，我就有聽到了。瞬間我的額頭三條線，我想這應該是泌尿科女醫師的一種職業病。 結語  &nbsp;&nbsp;&nbsp; 其實女醫師做泌尿科醫師雖然是近10多年才開始，但有越來越多的女性願意投入這個原先以男性為主體的醫療環境，其實泌尿科的專業領域日形多樣化、並且可開發女性病患的市場，越來越適合女性醫師從事這個醫療專業，服務更多女性病患。  &nbsp; &nbsp; &nbsp;]]></summary>
    <content type="html"><![CDATA[<P>&nbsp;</P> <P><IMG alt="" src="http://pic.pimg.tw/drbird/48ca9d815ad11.jpg" border=0>&nbsp;<SPAN style="FONT-SIZE: small"><SPAN style="FONT-FAMILY: 新細明體"> <BR></SPAN></SPAN></P> <P><SPAN style="FONT-SIZE: small"><SPAN style="FONT-FAMILY: 新細明體"><SPAN style="FONT-SIZE: small"><SPAN style="FONT-FAMILY: 新細明體"> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; LETTER-SPACING: 0.75pt; mso-bidi-font-family: Arial"><SPAN style="FONT-FAMILY: Calibri">(</SPAN></SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.75pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Arial; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin">左起</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; LETTER-SPACING: 0.75pt; mso-bidi-font-family: Arial"><SPAN style="FONT-FAMILY: Calibri">:</SPAN></SPAN><SPAN style="FONT-SIZE: 11pt; 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FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.75pt; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri; mso-bidi-font-family: Arial; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-latin; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin">林美吟醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; LETTER-SPACING: 0.75pt; mso-bidi-font-family: Arial"><SPAN style="FONT-FAMILY: Calibri">,</SPAN></SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.75pt; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: Arial; mso-fareast-font-family: 新細明體; mso-fareast-theme-font: minor-fareast">余明螢醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; LETTER-SPACING: 0.75pt; mso-bidi-font-family: Arial">)</SPAN></P></SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: small"> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan">&nbsp;</P></SPAN></SPAN> <P></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; 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COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">於民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">87</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">考取</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">)</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">、劉昕和醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">93</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">考取</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">)</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">、李苑如醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">93</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">年考取</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">)</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">、林美吟醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">95</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">考取</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">)</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">、許如麗醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">95</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">考取</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">)</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">、曾淑芬醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">(</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">95</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">年考取</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">)</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">，最近分別又有王禎薇醫師、張毓珊醫師</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">2</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">位醫師於民國</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">96</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">年考取，這顯示在現代進步開放的社會中，性別不再是選擇工作的阻礙，有越來越多女醫師願意投身泌尿科的工作行列，於台灣各區為病患服務。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">&nbsp; </SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">全台女泌尿科專科醫師及其服務單位  <TABLE class=MsoNormalTable style="MARGIN: auto auto auto 0.65pt; WIDTH: 340.95pt; BORDER-COLLAPSE: collapse; mso-yfti-tbllook: 1184; mso-padding-alt: 0cm 1.4pt 0cm 1.4pt" cellSpacing=0 cellPadding=0 width=455 border=0> <TBODY> <TR style="HEIGHT: 20pt; mso-yfti-irow: 0; mso-yfti-firstrow: yes"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">&nbsp;</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;　</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">姓名</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: windowtext 1pt solid; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-top-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">服務單位</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 1"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">1</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">唐麗光</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">署立台東醫院泌尿科</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 2"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">2</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">張美玉</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">市立小港醫院泌尿外科</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 3"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-alt: 8.75pt" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">3</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-alt: 8.75pt" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">劉昕和</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; mso-pagination: widow-orphan; mso-line-height-alt: 8.75pt"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">台中慈濟醫院</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 4"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">4</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">李苑如</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">台大醫院泌尿部</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 5"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">5</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">曾淑芬</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">高雄長庚醫院泌尿科</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 6"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">6</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">許如麗</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">屏東國仁醫院泌尿科</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 7"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">7</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">林美吟</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">彰化秀傳醫院泌尿科</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><SPAN style="mso-spacerun: yes">&nbsp; </SPAN></SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 8"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">8</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">張毓珊</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">中山醫學大學附醫泌尿科</SPAN></P></TD></TR> <TR style="HEIGHT: 20pt; mso-yfti-irow: 9; mso-yfti-lastrow: yes"> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: windowtext 1pt solid; WIDTH: 23.9pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-left-alt: solid windowtext .5pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=32> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">9</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 90.25pt; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=120> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: center; mso-pagination: widow-orphan; mso-line-height-rule: exactly" align=center><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">王禎薇</SPAN></P></TD> <TD style="BORDER-RIGHT: windowtext 1pt solid; PADDING-RIGHT: 1.4pt; BORDER-TOP: #ece9d8; PADDING-LEFT: 1.4pt; PADDING-BOTTOM: 0cm; BORDER-LEFT: #ece9d8; WIDTH: 8cm; PADDING-TOP: 0cm; BORDER-BOTTOM: windowtext 1pt solid; HEIGHT: 20pt; BACKGROUND-COLOR: transparent; mso-border-bottom-alt: solid windowtext .5pt; mso-border-right-alt: solid windowtext .5pt" width=302> <P class=MsoNormal style="MARGIN: 0cm 6pt 0pt; LINE-HEIGHT: 20pt; mso-pagination: widow-orphan; mso-line-height-rule: exactly"><SPAN style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">台北醫學大學附設醫院泌尿科</SPAN><SPAN lang=EN-US style="FONT-SIZE: 11pt; COLOR: black; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><SPAN style="mso-spacerun: yes">&nbsp; </SPAN></SPAN></P></TD></TR></TBODY></TABLE></SPAN><!-- more --></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><STRONG style="mso-bidi-font-weight: normal"></STRONG><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">選擇泌尿科的原因</SPAN></STRONG></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><SPAN style="mso-spacerun: yes">&nbsp;&nbsp;&nbsp; </SPAN></SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">說到當初選擇泌尿科的來由，才發現大家的思考方向大不相同，劉昕和醫師提到，因為泌尿科除了本科的精進，還可以變化出多樣的發展，所以跟其他科比起來，還有一個好處就是進可攻退可守，不管是研究、專門做一些預防醫學，或者是跟健康檢查結合在一起，而且女性泌尿科如果同時有把乳癌和</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">CRS</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">（直腸外科）的部分再包含衛生教育，其實前景看好，有蠻大的市場，目前尚未有專門的女醫師來做這一塊。而泌尿科的手術日新月異，很多不再像以往需要「大刀闊斧」，劉醫師說精細的手術性質更有其吸引人之處：</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">應該是</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 標楷體">intern</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">的時候，進去看泌尿科醫師開刀，我就想欸怎麼都坐著開刀啊，還不錯哦，而且一個小鏡子弄一弄就好了，好像覺得還蠻享受那個開刀過程的，心裡想說：『對！所以就選泌尿科。』</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 23.65pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-char-indent-count: 2.15; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 23.65pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-char-indent-count: 2.15; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">另外，有的醫師覺得在外科體系中，泌尿科算是比較適合女生來做的科別，余明螢醫師回憶到：</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 23.65pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-char-indent-count: 2.15; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">我那時候會走泌尿科其實也是陰錯陽差，因為我本來沒有這個打算，我當實習醫生時完全沒有進過泌尿科的開刀房，但對外科有興趣，覺得泌尿科是體力負荷相對比較輕的科別，所以就來走泌尿科，一路學習下來還蠻有趣的。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: Cambria; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-style: italic">在住院醫師時期，張美玉醫師回憶接觸到病人的生離死別，感受極深：</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">當住院醫師第一年時其實人生的閱歷是相當淺的，尤其碰到癌症末期的病人往往令人不知所措，如何告訴癌末病人他即將走到人生的終點是一個大學問，也許當年我沒講該講的話。那一年一個才二十二歲的鄉下大男孩陰曩腫大已有兩年，父母是辛苦忙碌的勞動者，加上個性保守一直到陰曩非常腫大才來求診，診斷是睪丸癌合併後腹腔淋巴轉移，除了須接受睪丸切除，還必須將受一次又一次的化療，除了掉髮，他最不能忍受噁心、嘔吐與食不知味，一個年輕的住院女醫師當時是不太會鼓勵病人，當時我其實和他一樣徬徨無助。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">半年後大男孩難以忍受化療副作用逃跑不做化療了，又幾個月後大男孩被帶回來，當時更虛弱瘦弱，經過檢查病情是完全失控了，大男孩很少詢問病情，常常望向窗外罷了，我們則向父母解釋不樂觀的病情，沒多久他出院了，我們從此再也沒見大男還回來複診。半年後偶然他家鄉的親戚生病住院，才知他後來自殺死了。也許我該多講些勉勵他的話，也許我該更鼓勵他說出自己的感受，也許我的表情不該透露絕望，如果重來，我想我會有些不一樣的做法，結局也許會不同？</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 標楷體">&nbsp;</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: Cambria; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-style: italic">林美吟醫師則回憶起學長叮囑，在幫男病人看診或作檢查時，更要用體恤的心情去了解他們與女性不同的生理結構，所以更要小心謹慎：</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-style: italic">第一次學長帶著我看膀胱鏡時，當經過膜狀尿道時，學長不忘提醒：輕一點！小心一點尿道才能彎進去，那裡很痛的，你沒那裡所以沒辦法感同身受喔</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 標楷體; mso-bidi-font-style: italic">!</SPAN><SPAN style="FONT-SIZE: 11pt; FONT-FAMILY: 'serif;"> </SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; BACKGROUND: white; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.75pt; mso-ascii-font-family: 'serif''; mso-hansi-font-family: 'serif''; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">劉昕和醫師憶起在當住院醫時，也是女醫師，發生特別的看診經驗：</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; BACKGROUND: white; COLOR: #000000; FONT-FAMILY: 標楷體; LETTER-SPACING: 0.75pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-bidi-font-style: italic">當住院醫師時需要作一些局麻的小手術</SPAN><SPAN style="FONT-SIZE: 11pt; BACKGROUND: white; COLOR: #000000; FONT-FAMILY: 標楷體; LETTER-SPACING: 0.75pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">，<SPAN style="mso-bidi-font-style: italic">曾有一次被病人婉轉的拒絕</SPAN>，<SPAN style="mso-bidi-font-style: italic">堅持一定要男性醫師才能幫他主刀</SPAN>，<SPAN style="mso-bidi-font-style: italic">我只好請出學長幫忙</SPAN>，<SPAN style="mso-bidi-font-style: italic">但事實上學長負責的是安撫病人及陪病人聊天分散注意力</SPAN>，</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; LETTER-SPACING: 0.75pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">&nbsp;</SPAN><SPAN style="FONT-SIZE: 11pt; BACKGROUND: white; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; LETTER-SPACING: 0.75pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-bidi-font-style: italic">病人一直到結束都不知他的包皮其實是我這個女醫師處理的。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 11pt; BACKGROUND: white; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-bidi-font-style: italic">&nbsp;</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">女性泌尿科醫師的優勢與限制</SPAN></STRONG></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 23.65pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-char-indent-count: 2.15; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">泌尿科女醫師在整個泌尿科龐大體系中比例不是很高，僅占</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">1.8%</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">左右，這樣的性別趨勢有可能是優勢，也有可能帶來限制，端看女醫師如何去面對；從優勢的角度來看，求職時，如果訓練資歷和男生沒什麼差別，相對較容易被錄取，因為在這個醫療環境中，女醫師較具新鮮感，同時被市場接受的程度也較高；而說到限制則是對女性擔任泌尿科醫師的一體兩面的現象，大多是來自對女性的刻板印象，像是被男病人拒絕，看到是女醫師看診，直接在門口就走掉了；林美吟醫師笑著說：</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">&nbsp;</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">其實像我當初當住院醫師的時候，外科的學長也跟我說，因為你是女生所以他們對你特別好。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 標楷體">&nbsp;</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">但這些優勢或是限制並不是絕對的，林美吟醫師這樣比喻：</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">因為我覺得老天爺給我們的牌是不一樣的，有人拿一手好牌也可以打出一個爛局來，牌怎麼出、你在什麼時候用你自己的牌，該學東西的時候你要學，該撒嬌的時候你要撒嬌，該去要東西的時候你要去要東西出來，所以那個是看你怎麼去運用你自己的牌去打出那個東西，沒有好跟不好。有的病人其實覺得跟女醫師講病情比較安心；我本來覺得我對男性性功能障礙的疾病有一點點排拒，可是後來發現其實不會啊，很多的男泌尿科醫師聽到男性性功能障礙也是不想收這個病人，也不是只有我們啊，所以其實是你要學著去接受身為女性泌尿科醫師帶來的優勢或限制，給自己</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 標楷體">try</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">的時間，過一陣子之後它會給你一個學習的成果。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 標楷體">&nbsp;</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><SPAN style="mso-spacerun: yes">&nbsp;&nbsp;&nbsp; </SPAN></SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">衍伸相同的想法，像是性功能障礙，女醫師們也可以把它擴大照護的範圍，就像是</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">GIN</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">（骨盆腔脫垂、子宮脫垂），造福更多女性病患，也形成泌尿科女醫師另一項優勢。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">身為萬綠叢中一點紅的女性泌尿科醫師，張美玉醫師笑的說起尷尬又有趣的看診經驗：</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-no-proof: yes">剛當主治醫師對一些泌尿科的「行話」並不了解，也因此鬧了一些小笑話。譬如有一次有一個年輕的男病人一進診間告訴我他「流鼻涕」不舒服，我當下的反應是感冒流鼻涕應該去看耳鼻喉科，不是找我泌尿科醫師看診，原來流鼻涕指的是尿道口有黃色分泌物，是淋病尿道炎，真糗！</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-no-proof: yes">又有一次病人告訴我他的主要問題是「倒陽」（台語發音），我自認台語很溜，但是這麼台的台語我實在是不懂何意，你懂嗎？原來病人是指他有陽痿的問題。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-no-proof: yes">泌尿科又叫老人科，有不少病人是老人家，年紀大往往聽力變差，所以在診間常看到醫師扯開喉嚨大聲的跟病人交談，希望病人在有限的聽力下仍了解醫師努力想要解釋的病情，想不到時間一久往往不知不覺中與人交談往往是扯開嗓門大聲說話；有一次內科學妹會診，途中試著要讓學妹了解我即將執行的處置，不知不覺說話的聲音越來越大聲，幾乎是要講給重聽的人聽的高分貝語調，學妹突然很小聲的說：學姐我沒有重聽，你小聲的講，我就有聽到了。瞬間我的額頭三條線，我想這應該是泌尿科女醫師的一種職業病。</SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">結語</SPAN></P> <P><SPAN style="FONT-SIZE: small"></SPAN></P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none"><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><SPAN style="mso-spacerun: yes">&nbsp;&nbsp;&nbsp; </SPAN></SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">其實女醫師做泌尿科醫師雖然是近</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">10</SPAN><SPAN style="FONT-SIZE: 11pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">多年才開始，但有越來越多的女性願意投入這個原先以男性為主體的醫療環境，其實泌尿科的專業領域日形多樣化、並且可開發女性病患的市場，越來越適合女性醫師從事這個醫療專業，服務更多女性病患。</SPAN></P> <P><SPAN style="FONT-SIZE: small"></SPAN></P> <P>&nbsp;</P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none">&nbsp;</P> <P class=MsoNormal style="TEXT-JUSTIFY: inter-ideograph; MARGIN: 0cm 0cm 0pt; LINE-HEIGHT: 20pt; TEXT-ALIGN: justify; mso-pagination: widow-orphan; mso-line-height-rule: exactly; mso-layout-grid-align: none">&nbsp;</P>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/21826131">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/21814016</id>
    <title><![CDATA[醫師：婦女停經後骨盆鬆弛　可作提肛運動]]></title>
    <updated>2008-09-12T14:24:50+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/21814016"/>
    <summary><![CDATA[醫師：婦女停經後骨盆鬆弛　可作提肛運動  更新日期:2008/08/13 16:09    （中央社記者吳哲豪彰化縣十三日電）婦女在停經後會有骨盆鬆弛或應力性尿失禁的問題，醫生表示，可能是在懷孕或生產過程中骨盆底肌肉韌帶及神經受到損傷，建議可以藉由作提肛運動讓症狀獲得改善，一天做一次，一週至少做四次，同時配合醫師的治療，就能改善因骨盆肌鬆弛造成的症候群。 彰濱秀傳醫院泌尿科醫師林美吟今天表示，有將近四成到五成的停經婦女會有骨盆鬆弛或應力性尿失禁的問題，最常見的原因可能是懷孕或生產過程中骨盆底肌肉韌帶或神經受到損傷。 林美吟表示，由於膀胱、子宮等骨盆腔器官是由骨盆底肌肉群支撐，訓練這些肌肉群可以用來預防和治療因為肌肉群鬆弛引起的應力性尿失禁、陰道鬆弛等疾病，她建議婦女朋友可以做凱格爾提肛運動預防或改善症狀。 林美吟說，婦女朋友在家可以自己學著作凱格爾運動，第一步先仰躺在床上，雙腳膝蓋彎曲，初學者可將食指及中指放在陰道裡，感受肌肉收縮的力量及做法是否正確，接下來收縮骨盆底肌肉，動作就像平常解小便中途忽然憋住的動作，如果動作正確，放在陰道中的手指頭會有壓迫的感覺，在做運動時，除了提肛肌群，腹部、大腿、臀部都不需用力，接下來持續收縮約十秒，再放鬆十秒，如此重複十五回。 林美吟表示，婦女朋友最好一天做一次，一禮拜做至少四次，然後依照運動的效果和疾病改善的情形，和醫師討論是否要輔助其他的療法等。]]></summary>
    <content type="html"><![CDATA[<H1>醫師：婦女停經後骨盆鬆弛　可作提肛運動</H1> <DIV class=offer><LABEL><A href="http://tw.rd.yahoo.com/referurl/news/logo/cna//SIG=10o749hhp/*http://www.cna.com.tw/" target=_blank><IMG alt=中央社 src="http://l.yimg.com/tw.yimg.com/i/tw/news/masterhead/cna_t.gif"></A></LABEL> <SPAN>更新日期:<Q>2008/08/13 16:09</Q></SPAN> <EM></EM></DIV> <DIV class=w> <DIV id=ynwsartcontent> <P><SPAN style="FONT-SIZE: small">（中央社記者吳哲豪彰化縣十三日電）婦女在停經後會有骨盆鬆弛或應力性尿失禁的問題，醫生表示，可能是在懷孕或生產過程中骨盆底肌肉韌帶及神經受到損傷，建議可以藉由作提肛運動讓症狀獲得改善，一天做一次，一週至少做四次，同時配合醫師的治療，就能改善因骨盆肌鬆弛造成的症候群。</SPAN></P> <P><SPAN style="FONT-SIZE: small">彰濱秀傳醫院泌尿科醫師林美吟今天表示，有將近四成到五成的停經婦女會有骨盆鬆弛或應力性尿失禁的問題，最常見的原因可能是懷孕或生產過程中骨盆底肌肉韌帶或神經受到損傷。</SPAN></P> <P><SPAN style="FONT-SIZE: small">林美吟表示，由於膀胱、子宮等骨盆腔器官是由骨盆底肌肉群支撐，訓練這些肌肉群可以用來預防和治療因為肌肉群鬆弛引起的應力性尿失禁、陰道鬆弛等疾病，她建議婦女朋友可以做凱格爾提肛運動預防或改善症狀。</SPAN></P> <P><SPAN style="FONT-SIZE: small">林美吟說，婦女朋友在家可以自己學著作凱格爾運動，第一步先仰躺在床上，雙腳膝蓋彎曲，初學者可將食指及中指放在陰道裡，感受肌肉收縮的力量及做法是否正確，接下來收縮骨盆底肌肉，動作就像平常解小便中途忽然憋住的動作，如果動作正確，放在陰道中的手指頭會有壓迫的感覺，在做運動時，除了提肛肌群，腹部、大腿、臀部都不需用力，接下來持續收縮約十秒，再放鬆十秒，如此重複十五回。</SPAN></P> <P><SPAN style="FONT-SIZE: small">林美吟表示，婦女朋友最好一天做一次，一禮拜做至少四次，然後依照運動的效果和疾病改善的情形，和醫師討論是否要輔助其他的療法等。</SPAN></P></DIV></DIV>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/21814016">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/21813967</id>
    <title><![CDATA[懷孕期的泌尿系統問題]]></title>
    <updated>2008-09-12T14:15:50+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/21813967"/>
    <summary><![CDATA[  懷孕期的泌尿系統問題  更新日期:2007/08/29 11:30 周琪霏／整理報導    懷孕期間的婦女，泌尿道常引起一些特殊的變化，也衍生出一些常見的泌尿道症狀或疾病。在胚胎時期，生殖與泌尿系統出於同一發生來源，兩者關係緊密。所以，懷孕期間生殖系統的變化，也影響到鄰近的泌尿系統。 天主教聖功醫院婦產科 蔡燦輝 醫師指出，最常見的懷孕期泌尿道的變化，莫過於所謂的腎盂及輸尿管擴張現象，甚至被通稱為「生理性的輸尿管及腎盂水腫」。此種現象一般出現於懷孕20週之後。 發生原因有兩個主要理由（雖然仍略有爭論）： （一）內分泌（荷爾蒙）的變化引起，主要是指助孕酮的大量增加，而導致輸尿管收縮力不足。另一個可能的荷爾蒙因素是某些前列腺素，也可能抑制輸尿管的收縮力。尿液因而貯留於上泌尿道。 （二）輸尿管受到懷孕變大的子宮的機械性壓迫，尿路不通順，因而造成上泌尿道（輸尿管上部及腎盂）的水腫。而輸尿管受壓迫的位置，一般認為在骨盆邊緣，輸尿管跨過腸骨動靜脈的地方。後者有X光的證據可以支持。 至於下泌尿道（指膀胱及尿道）也會因懷孕而有所變化。由於膀胱和子宮下段、子宮頸互相鄰接，因此，當子宮隨懷孕期增大時，膀胱的解剖位置也跟隨著往上及向前提升，逐漸變成位於腹腔而不再位於較底的骨盆內。膀胱基部隨子宮下段擴大，且基底部的中央部略高於兩側。此外，受到雌激素的刺激，膀胱黏膜層充血，且膀胱壁血管變得豐富而彎曲，膀胱壁肌肉層也略微增厚。膀胱容量增加，可能因助孕酮的作用使膀胱壁平滑肌鬆弛所致。由於膀胱位置往上提升，尿道的實際長度或功能性長度在懷孕末期都增加。整體而言，懷孕期間泌尿系統的變化，傾向於尿路的瘀積與尿液貯留。這點是引致容易尿路細菌感染的重要誘因。 尿路的感染，有時有明顯的徵候，有時卻只是沒有症狀的細菌尿。懷孕期的無症狀尿路細菌感染，一樣可以引起母體或胎兒的嚴重後果但是，有些懷孕婦女雖然有頻尿、急尿，夜間多尿等症狀，卻不見得是急性尿路細菌感染。唯有透過檢查尿液，才能得知是否真有細菌感染。當有明確的感染證據時，就應開始治療。 另外一個比較特殊的問題，發生於懷孕20週以後的妊娠性高血壓或子癇前症也會引起泌尿系統的腎臟損害。腎臟的工作單位，其中的腎絲球產生一些病變：腎絲球的基底膜增厚，腎絲球的微血管內膜細胞常有腫大，並有類纖維物質沈積，微血管內徑變窄。這些腎臟的變化，產生一些連帶性的臨床病徵：蛋白尿，鈉及水份的貯留於組織間隙（水腫），循環系統內的血漿容量不足，呈現出血液濃縮的現象。妊娠性高血壓，子癇前症或子癇症，對母體及胎兒的影響非常大，腎臟的病變只是其中的一個環節。母體的心臟血管系統、血液成分、肝臟功能等，也都會受到波及。 由於胎盤也會有病變，胎盤功能受到損害，胎兒的養分及氧氣來源不足，會導致胎兒生長遲滯，嚴重時胎兒死亡。唯有依靠定期產前檢查，注意血壓變化，體重及尿液檢查，才能對一些病徵提早發現，加以治療。 資料來源：http://www.uho.com.tw/hotnews.asp?aid=3466  ]]></summary>
    <content type="html"><![CDATA[<P> <DIV class=bd> <H1>懷孕期的泌尿系統問題</H1> <DIV class=offer><LABEL><A href="http://tw.rd.yahoo.com/referurl/news/logo/uho//SIG=10nvn02mc/*http://www.uho.com.tw" target=_blank><IMG alt=優活 src="http://tw.yimg.com/i/tw/news/masterhead/uho_logo.jpg"></A></LABEL> <SPAN>更新日期:<Q>2007/08/29 11:30</Q></SPAN> 周琪霏／整理報導 </DIV> <DIV class=w> <DIV id=ynwsartcontent> <P>懷孕期間的婦女，泌尿道常引起一些特殊的變化，也衍生出一些常見的泌尿道症狀或疾病。在胚胎時期，生殖與泌尿系統出於同一發生來源，兩者關係緊密。所以，懷孕期間生殖系統的變化，也影響到鄰近的泌尿系統。<!-- more --></P> <P>天主教聖功醫院<A class="ynwsyq yqclass" id=yui-gen0 title=婦產科 href="http://panel.pixnet.cc/blog/?"><SPAN>婦產科</SPAN></A> 蔡燦輝 醫師指出，最常見的懷孕期泌尿道的變化，莫過於所謂的腎盂及輸尿管擴張現象，甚至被通稱為「生理性的輸尿管及腎盂水腫」。此種現象一般出現於懷孕20週之後。</P> <P>發生原因有兩個主要理由（雖然仍略有爭論）：</P> <P>（一）內分泌（荷爾蒙）的變化引起，主要是指助孕酮的大量增加，而導致輸尿管收縮力不足。另一個可能的荷爾蒙因素是某些前列腺素，也可能抑制輸尿管的收縮力。尿液因而貯留於上泌尿道。</P> <P>（二）輸尿管受到懷孕變大的子宮的機械性壓迫，尿路不通順，因而造成上泌尿道（輸尿管上部及腎盂）的水腫。而輸尿管受壓迫的位置，一般認為在骨盆邊緣，輸尿管跨過腸骨動靜脈的地方。後者有X光的證據可以支持。</P> <P>至於下泌尿道（指膀胱及尿道）也會因懷孕而有所變化。由於膀胱和子宮下段、子宮頸互相鄰接，因此，當子宮隨懷孕期增大時，膀胱的解剖位置也跟隨著往上及向前提升，逐漸變成位於腹腔而不再位於較底的骨盆內。膀胱基部隨子宮下段擴大，且基底部的中央部略高於兩側。此外，受到雌激素的刺激，膀胱黏膜層充血，且膀胱壁血管變得豐富而彎曲，膀胱壁肌肉層也略微增厚。膀胱容量增加，可能因助孕酮的作用使膀胱壁平滑肌鬆弛所致。由於膀胱位置往上提升，尿道的實際長度或功能性長度在懷孕末期都增加。整體而言，懷孕期間泌尿系統的變化，傾向於尿路的瘀積與尿液貯留。這點是引致容易尿路細菌感染的重要誘因。</P> <P>尿路的感染，有時有明顯的徵候，有時卻只是沒有症狀的細菌尿。懷孕期的無症狀尿路細菌感染，一樣可以引起母體或胎兒的嚴重後果但是，有些懷孕婦女雖然有頻尿、急尿，夜間多尿等症狀，卻不見得是急性尿路細菌感染。唯有透過檢查尿液，才能得知是否真有細菌感染。當有明確的感染證據時，就應開始治療。</P> <P>另外一個比較特殊的問題，發生於懷孕20週以後的妊娠性高血壓或子癇前症也會引起泌尿系統的腎臟損害。腎臟的工作單位，其中的腎絲球產生一些病變：腎絲球的基底膜增厚，腎絲球的微血管內膜細胞常有腫大，並有類纖維物質沈積，微血管內徑變窄。這些腎臟的變化，產生一些連帶性的臨床病徵：蛋白尿，鈉及水份的貯留於組織間隙（水腫），循環系統內的血漿容量不足，呈現出血液濃縮的現象。妊娠性高血壓，子癇前症或子癇症，對母體及胎兒的影響非常大，腎臟的病變只是其中的一個環節。母體的心臟血管系統、血液成分、肝臟功能等，也都會受到波及。</P> <P>由於胎盤也會有病變，胎盤功能受到損害，胎兒的養分及氧氣來源不足，會導致胎兒生長遲滯，嚴重時胎兒死亡。唯有依靠定期產前檢查，注意血壓變化，體重及尿液檢查，才能對一些病徵提早發現，加以治療。</P> <P>資料來源：<A href="http://www.uho.com.tw/hotnews.asp?aid=3466" rel=nofollow><SPAN style="COLOR: #003399">http://www.uho.com.tw/hotnews.asp?aid=3466</SPAN></A><A href="http://drbird.pixnet.net/album/photo/72819250"><IMG height=361 "" src="http://pic.pimg.tw/drbird/1195802003.jpg" width=211 border=0></A></P> <P><A href="http://drbird.pixnet.net/album/photo/72819250"></A></P> <P><A href="http://drbird.pixnet.net/album/photo/72819250"></A></P></DIV></DIV></DIV>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/21813967">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/19229711</id>
    <title><![CDATA[膀胱脫垂手術的新趨勢    ~不用再做子宮切除囉 ~]]></title>
    <updated>2008-06-28T23:45:05+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/19229711"/>
    <summary><![CDATA[&nbsp;&nbsp; 生產時，由於努力用腹壓向下推擠胎兒，產後通常子宮多少會有一點下垂，產次愈多，下垂的機會愈大，如果再加上坐月子期間，沒有適當的復原運動，則更麻煩。但是這些情況，在婦女年輕的時候還未必會察覺出來，隨著年齡的增大，下垂的情形會逐漸明顯，因為女性荷爾蒙的不足，肌肉、筋膜、韌帶的鬆弛，使得子宮的支持力量逐漸喪失而下垂。子宮下垂是往陰道方向下墜，輕度者子宮還在陰道內，嚴重者子宮往往掉到陰道口，甚至下垂到體外了，子宮下垂造成的問題，主要是下墜感和下腹沈重的感覺，如果下垂到某一個程度，也會造成性交的不便與不適，因為老是會撞擊到子宮和子宮頸。而如脫垂到體外，往往因與內褲摩擦，而造成子宮頸潰瘍或出血。另外，由於子宮前有膀胱，後方有直腸，子宮一下墜，往往一併牽引兩個鄰居，一起拖下水，因而同時有膀胱下垂和直腸脫垂，這兩者也都是往陰道的方向下墜，嚴重者亦會翻到體外。兩個鄰近器官下垂的結果是，尿不易排空，因此容易頻尿、膀胱炎；大便也常常解不乾淨，而感覺還有便意。
傳統處理膀胱脫垂的手術是1928年Kelly所創的前側陰道修補術，此術式雖短期有效，然5年成功率不及五成，目前使用此術式的婦女泌尿專科醫師不到二成。現今最常用也最有效的術式是將聚丙烯(polypropylene)製成的四腳形網狀材質置於脫出的膀胱底下方，而四個腳支由兩側的閉孔穿出會陰皮膚，好比一棟房子需要有四支棟樑支撐才夠堅固，所以此術式的長期成功率達九成以上。而且手術時間在一小時內完成，相當快速且堅固，出血量亦不多，最重要的是肚子沒有傷口，術後疼痛極輕微，亦不需禁食，只要病人術後清醒時即可進食。
]]></summary>
    <content type="html"><![CDATA[<p><span style="font-size: x-small;">&nbsp;&nbsp; 生產時，由於努力用腹壓向下推擠胎兒，產後通常子宮多少會有一點下垂，產次愈多，下垂的機會愈大，如果再加上坐月子期間，沒有適當的復原運動，則更麻煩。但是這些情況，在婦女年輕的時候還未必會察覺出來，隨著年齡的增大，下垂的情形會逐漸明顯，因為女性荷爾蒙的不足，肌肉、筋膜、韌帶的鬆弛，使得子宮的支持力量逐漸喪失而下垂。子宮下垂是往陰道方向下墜，輕度者子宮還在陰道內，嚴重者子宮往往掉到陰道口，甚至下垂到體外了，子宮下垂造成的問題，主要是下墜感和下腹沈重的感覺，如果下垂到某一個程度，也會造成性交的不便與不適，因為老是會撞擊到子宮和子宮頸。而如脫垂到體外，往往因與內褲摩擦，而造成子宮頸潰瘍或出血。另外，由於子宮前有膀胱，後方有直腸，子宮一下墜，往往一併牽引兩個鄰居，一起拖下水，因而同時有膀胱下垂和直腸脫垂，這兩者也都是往陰道的方向下墜，嚴重者亦會翻到體外。兩個鄰近器官下垂的結果是，尿不易排空，因此容易頻尿、膀胱炎；大便也常常解不乾淨，而感覺還有便意。</span></p><br />
<p style="MARGIN-TOP: 6px; MARGIN-BOTTOM: 0px; TEXT-INDENT: 26px; LINE-HEIGHT: 150%; MARGIN-RIGHT: 0px"><span style="font-size: x-small;">傳統處理膀胱脫垂的手術是1928年Kelly所創的前側陰道修補術，此術式雖短期有效，然5年成功率不及五成，目前使用此術式的婦女泌尿專科醫師不到二成。<br />現今最常用也最有效的術式是將聚丙烯(polypropylene)製成的四腳形網狀材質置於脫出的膀胱底下方，而四個腳支由兩側的閉孔穿出會陰皮膚，好比一棟房子需要有四支棟樑支撐才夠堅固，所以此術式的長期成功率達九成以上。而且手術時間在一小時內完成，相當快速且堅固，出血量亦不多，最重要的是肚子沒有傷口，術後疼痛極輕微，亦不需禁食，只要病人術後清醒時即可進食。</span><a href="http://www.pixnet.net/photo/drbird/94422952"><span style="font-size: x-small;"><img id="thumb94422952" class="thumb" src="http://pic.pimg.tw/drbird/thumb_1214668846.jpg" "" width="90" /></span></a></p><br />
<p><!-- more --></p>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/19229711">(Read More...)</a></div>]]></content>
    <category term="泌尿科手術"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/19229077</id>
    <title><![CDATA[咳嗽 漏尿 不再理所當然(婦女尿失禁)]]></title>
    <updated>2008-06-28T23:26:40+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/19229077"/>
    <summary><![CDATA[ 在多產婦及停經後的婦女常會發生所謂的應力性尿失禁，病人會因為腹壓增加，如咳嗽、打噴嚏、大聲笑或做運動時，因為無法控制尿意，而產生尿液外漏現象。根據統計約有10%~35%的中老年婦女有漏尿的困擾，然而卻只有三分之一不到的病人會到醫院求診，多半是因為不好意思或認為那是理所當然的事。造成尿失禁的原因有很多，但無論是何種原因引起的漏尿都會引起許多日常生活、社交生活及性生活的問題，擔心身上有尿騷味、擔心尿濕衣褲、減少外出及休閒活動、性生活情趣受到影響等等。  保守療法：簡單地說，開刀以外的方法皆稱為保守療法、包含了以下數種：1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 藥物治療&nbsp; 2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 骨盆肌肉強化運動&nbsp; 3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 生理迴饋控制&nbsp; 4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 電刺激 5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 排尿行為治療等。 6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 陰道內置放模型式支撐物，支撐尿道及膀胱。 一‧藥物治療：(包括女性賀爾蒙)。 二‧骨盆肌肉強化運動(凱格爾運動)： 是指病人重複的隨意收縮提肛肌，可以讓病人坐在馬桶上，在雙腿不用力的情況下，自由解尿、禁尿這種感覺就是用到恥骨肌。也可以教導病人在坐著、躺著、站著時想像自己正在解大小便，而試著要忍住解大小便，夾緊肛門周圍及會陰部肌肉，當病人感受此肌肉時，則反覆練習此收縮，心中默念1、2、3、4、5再放鬆，一般每天可先做5次，每次做3-5次收縮運動，然後再逐步增加，此運動對於嚴重尿失禁及伴有膀胱脫垂病人較無效。好處是短期內如能真正練習到正確的肌肉，效果在五成到七成左右；缺點是需要三至六個月運動時間，才能有初步的成效出來。因此，病患的配合度也會影響效果。 三‧生理迴饋控制： 所謂的生理迴饋控制就是藉著肌電圖及電腦影像的方式儀器讓婦女朋友知道骨盆腔肌肉的收縮放鬆狀態，進一步明瞭該如何去正確的用力，通常是配合骨盆肌肉強化運動(凱格爾運動)使用。骨盆肌肉的強化運動，最重要的就是正確的加強特定肌肉群組，而不是使用到腹部肌肉，不正確的運動是無法達到預期成效的。這是適用於尿失禁較輕微且沒有伴隨尿道或膀胱脫垂者為佳，當然病患的配合度及意願相當地重要。 四．電刺激：  電刺激屬「被動式」凱格爾運動。同時可以治療應力性尿失禁、急迫性尿失禁，利用不同的頻率，可以達到不同的效果。當設定為低頻（12.5Hz）時，可以刺激pudendal nerve，使骨盆神經（pelvic nerve）反射降低，從而達到降低膀胱逼尿肌敏感性，增加膀胱容量的目的。調查發現，約有1/3病人能達到良好的治療效果。五．排尿行為治療(膀胱訓練)：  其主要目的是重建正常的排尿型態，可分為膀胱再訓練、定期解尿訓練、習慣重建及定期提醒解尿。前兩這針對意識清楚的病患；後兩者則針對認知障礙的病患。 1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 膀胱再訓練: 主要針對意識清楚的尿急頻尿病患。膀胱訓練是藉由大腦來控制下泌尿道，以重新建立膀胱控制能力的練習。試著去抗拒或抑制尿急的感覺而拖延排空膀胱的時間，以達到增加膀胱最大容量的目的。病患需要先紀錄『解尿日記』，以了解自己解小便的實際間隔時間，然後逐漸延長解尿間隔時間。訓練目標是每次排尿量大於200c.c.，每天解尿次數日間為六到八次夜晚可以少於兩次為原則 訓練過程中，病患可能會有想解小便的尿急感。以下幾個秘訣可以幫助消除尿急感： a. 將注意力集中在需要專心的工作上。 b. 試著將注意力集中在身體其他部位的感覺上。 c. 當尿急感發生時，告訴自己我可以等、我還沒必要去、我可以克服它或時間還不到。 d. 執行3-5次快速而有力的骨盆底肌肉運動。 e. 記下讓尿急感消退的時間有多長，下次再發生時，加倍這個時間。 2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 定期解尿訓練 主要針對排尿障礙的病人，希望達成三至四小時解尿一次，每次不超過450~500c.c.的目的。可用敲擊恥骨上緣的誘尿方法來協助病人。 3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 習慣重建 針對認知障礙的病患，固定時間協助病患如廁。 4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 定期提醒解尿 應用行為治療的原理來協助虛弱長期包尿布的病患。 六．磁刺激（magnetic stimulation）&nbsp;　　磁刺激可作用於中樞及周邊神經。運用於尿失禁患者，可利用磁性作用控制磁場內的神經與肌肉，使括約肌收縮，逼尿肌放鬆，達到治療效果。之前磁刺激的技術瓶頸在於coil容易過熱，無法長達15分鐘的持續刺激。而2000年二月日本的Yamanishi等人發表了利用新型coil，能夠持續以20Hz，15分鐘的磁刺激治療。結果顯示86%應力性尿失禁及75%急迫性尿失禁患者症狀明顯改善。&nbsp;&nbsp; &nbsp;在西方國家，尿失禁所造成在醫療上的花費及對患者生活品質的影響，跟糖尿病是可以相比擬的，不得不引起我們的高度重視。一般而言，保守療法還是適用於輕度的應力性，而必須開刀的適應症包括：先天性異常，骨盆腔手術造成廔管，中至重度的應力性尿失禁，及部份約滿溢型尿失禁等。尿失禁所謂尿失禁最佳治療方法，還是應先評估病人的年齡、日常生活、活動狀況、工作性質以及病患本身就醫的意願及配合度，再加上臨床客觀的檢查，病人的骨盆肌肉肌膜層對尿道膀胱之支撐程度，女性賀爾蒙狀況以及病患本身漏尿的嚴重度，做整體評估後再做最後的治療建議。]]></summary>
    <content type="html"><![CDATA[<H2><SPAN style="FONT-WEIGHT: normal; FONT-SIZE: 12pt"><SPAN lang=EN-US><SPAN style="FONT-FAMILY: 新細明體"><SPAN style="FONT-SIZE: x-small"><SPAN style="FONT-WEIGHT: normal; FONT-SIZE: 12pt"> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">在多產婦及停經後的婦女常會發生所謂的應力性尿失禁，病人會因為腹壓增加，如咳嗽、打噴嚏、大聲笑或做運動時，因為無法控制尿意，而產生尿液外漏現象。根據統計約有<SPAN lang=EN-US>10%~35%</SPAN>的中老年婦女有漏尿的困擾，然而卻只有三分之一不到的病人會到醫院求診，多半是因為不好意思或認為那是理所當然的事。造成尿失禁的原因有很多，但無論是何種原因引起的漏尿都會引起許多日常生活、社交生活及性生活的問題，擔心身上有尿騷味、擔心尿濕衣褲、減少外出及休閒活動、性生活情趣受到影響等等。 </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #0000a0; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">保守療法：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">簡單地說，開刀以外的方法皆稱為保守療法、包含了以下數種：<SPAN lang=EN-US>1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>藥物治療<SPAN lang=EN-US>&nbsp; 2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>骨盆肌肉強化運動<SPAN lang=EN-US>&nbsp; 3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>生理迴饋控制<SPAN lang=EN-US>&nbsp; 4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>電刺激<SPAN lang=EN-US> 5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>排尿行為治療等。<SPAN lang=EN-US> 6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN>陰道內置放模型式支撐物，支撐尿道及膀胱。<!-- more --></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">一<SPAN lang=EN-US>‧</SPAN>藥物治療：</SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">(</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">包括女性賀爾蒙<SPAN lang=EN-US>)</SPAN>。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">二<SPAN lang=EN-US>‧</SPAN>骨盆肌肉強化運動<SPAN lang=EN-US>(</SPAN>凱格爾運動<SPAN lang=EN-US>)</SPAN>：</SPAN></STRONG></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">是指病人重複的隨意收縮提肛肌，可以讓病人坐在馬桶上，在雙腿不用力的情況下，自由解尿、禁尿這種感覺就是用到恥骨肌。也可以教導病人在坐著、躺著、站著時想像自己正在解大小便，而試著要忍住解大小便，夾緊肛門周圍及會陰部肌肉，當病人感受此肌肉時，則反覆練習此收縮，心中默念<SPAN lang=EN-US>1</SPAN>、<SPAN lang=EN-US>2</SPAN>、<SPAN lang=EN-US>3</SPAN>、<SPAN lang=EN-US>4</SPAN>、<SPAN lang=EN-US>5</SPAN>再放鬆，一般每天可先做<SPAN lang=EN-US>5</SPAN>次，每次做<SPAN lang=EN-US>3-5</SPAN>次收縮運動，然後再逐步增加，此運動對於嚴重尿失禁及伴有膀胱脫垂病人較無效。好處是短期內如能真正練習到正確的肌肉，效果在五成到七成左右；缺點是需要三至六個月運動時間，才能有初步的成效出來。因此，病患的配合度也會影響效果。<STRONG></STRONG></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">三<SPAN lang=EN-US>‧</SPAN>生理迴饋控制：</SPAN></STRONG></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">所謂的生理迴饋控制就是藉著肌電圖及電腦影像的方式儀器讓婦女朋友知道骨盆腔肌肉的收縮放鬆狀態，進一步明瞭該如何去正確的用力，通常是配合<STRONG>骨盆肌肉強化運動<SPAN lang=EN-US>(</SPAN>凱格爾運動<SPAN lang=EN-US>)</SPAN></STRONG>使用。骨盆肌肉的強化運動，最重要的就是正確的加強特定肌肉群組，而不是使用到腹部肌肉，不正確的運動是無法達到預期成效的。這是適用於尿失禁較輕微且沒有伴隨尿道或膀胱脫垂者為佳，當然病患的配合度及意願相當地重要。<STRONG></STRONG></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">四．電刺激： </SPAN></STRONG></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">電刺激屬「被動式」凱格爾運動。同時可以治療應力性尿失禁、急迫性尿失禁，利用不同的頻率，可以達到不同的效果。當設定為低頻（<SPAN lang=EN-US>12.5Hz</SPAN>）時，可以刺激<SPAN lang=EN-US>pudendal nerve</SPAN>，使骨盆神經（<SPAN lang=EN-US>pelvic nerve</SPAN>）反射降低，從而達到降低膀胱逼尿肌敏感性，增加膀胱容量的目的。調查發現，約有<SPAN lang=EN-US>1/3</SPAN>病人能達到良好的治療效果。</SPAN><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast"><BR></SPAN></STRONG><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">五．排尿行為治療<SPAN lang=EN-US>(</SPAN>膀胱訓練<SPAN lang=EN-US>)</SPAN>： </SPAN></STRONG></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">其主要目的是重建正常的排尿型態，可分為膀胱再訓練、定期解尿訓練、習慣重建及定期提醒解尿。前兩這針對意識清楚的病患；後兩者則針對認知障礙的病患。<STRONG></STRONG></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></STRONG><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">膀胱再訓練<SPAN lang=EN-US>: </SPAN>主要針對意識清楚的尿急頻尿病患。</SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">膀胱訓練是藉由大腦來控制下泌尿道，以重新建立膀胱控制能力的練習。試著去抗拒或抑制尿急的感覺而拖延排空膀胱的時間，以達到增加膀胱最大容量的目的。病患需要先紀錄『解尿日記』，以了解自己解小便的實際間隔時間，然後逐漸延長解尿間隔時間。<STRONG>訓練目標是每次排尿量大於<SPAN lang=EN-US>200c.c.</SPAN>，每天解尿次數日間為六到八次夜晚可以少於兩次為原則 </STRONG>訓練過程中，病患可能會有想解小便的尿急感。以下幾個秘訣可以幫助消除尿急感：</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">a. </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">將注意力集中在需要專心的工作上。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">b. </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">試著將注意力集中在身體其他部位的感覺上。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">c. </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">當尿急感發生時，告訴自己我可以等、我還沒必要去、我可以克服它或時間還不到。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">d. </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">執行<SPAN lang=EN-US>3-5</SPAN>次快速而有力的骨盆底肌肉運動。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">e. </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">記下讓尿急感消退的時間有多長，下次再發生時，加倍這個時間。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">定期解尿訓練</SPAN></STRONG></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-weight: bold; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">主要針對排尿障礙的病人，希望達成三至四小時解尿一次，每次不超過<SPAN lang=EN-US>450~500c.c.</SPAN>的目的。可用敲擊恥骨上緣的誘尿方法來協助病人。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN><STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">習慣重建</SPAN></STRONG></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">針對認知障礙的病患，固定時間協助病患如廁。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">定期提醒解尿</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">應用行為治療的原理來協助虛弱長期包尿布的病患。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-outline-level: 3"><STRONG style="mso-bidi-font-weight: normal"><SPAN style="FONT-SIZE: 10pt; COLOR: #008000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">六．磁刺激（<SPAN lang=EN-US>magnetic stimulation</SPAN>）</SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast"><BR></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ascii-theme-font: minor-fareast; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-fareast">&nbsp;　　磁刺激可作用於中樞及周邊神經。運用於尿失禁患者，可利用磁性作用控制磁場內的神經與肌肉，使括約肌收縮，逼尿肌放鬆，達到治療效果。之前磁刺激的技術瓶頸在於<SPAN lang=EN-US>coil</SPAN>容易過熱，無法長達<SPAN lang=EN-US>15</SPAN>分鐘的持續刺激。而<SPAN lang=EN-US>2000</SPAN>年二月日本的<SPAN lang=EN-US>Yamanishi</SPAN>等人發表了利用新型<SPAN lang=EN-US>coil</SPAN>，能夠持續以<SPAN lang=EN-US>20Hz</SPAN>，<SPAN lang=EN-US>15</SPAN>分鐘的磁刺激治療。結果顯示<SPAN lang=EN-US>86%</SPAN>應力性尿失禁及<SPAN lang=EN-US>75%</SPAN>急迫性尿失禁患者症狀明顯改善。<SPAN lang=EN-US style="mso-bidi-font-weight: bold"><BR>&nbsp;&nbsp; &nbsp;</SPAN><SPAN style="mso-bidi-font-weight: bold">在西方國家，尿失禁所造成在醫療上的花費及對患者生活品質的影響，跟糖尿病是可以相比擬的，不得不引起我們的高度重視。</SPAN>一般而言，保守療法還是適用於輕度的應力性，而<SPAN style="mso-bidi-font-weight: bold">必須開刀的適應症包括：先天性異常，骨盆腔手術造成廔管，中至重度的應力性尿失禁，及部份約滿溢型尿失禁等。</SPAN>尿失禁所謂尿失禁最佳治療方法，還是應先評估病人的年齡、日常生活、活動狀況、工作性質以及病患本身就醫的意願及配合度，再加上臨床客觀的檢查，病人的骨盆肌肉肌膜層對尿道膀胱之支撐程度，女性賀爾蒙狀況以及病患本身漏尿的嚴重度，做整體評估後再做最後的治療建議。</SPAN></P></SPAN></SPAN></SPAN></SPAN></SPAN></H2>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/19229077">(Read More...)</a></div>]]></content>
    <category term="泌尿科手術"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/19229077#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/18611853</id>
    <title><![CDATA[別再讓尿失禁、子宮膀胱下垂、陰道鬆弛困擾你]]></title>
    <updated>2008-06-11T06:56:35+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/18611853"/>
    <summary><![CDATA[ 約有百分之二十到三十的成年婦女有尿失禁的問題，只是症狀程度不同而已。子宮摘除手術的婦女也有高達百分之九到十三會尿失禁。子宮脫垂、骨盆鬆弛患者中更有高達百分之三十六到百分之八十的應力性尿失禁患者存在。&nbsp;  身為女人是一種宿命也是一種使命, 經常會為一些毛病所困擾，例如頻尿（一個晚上要起來上廁所兩三次，或白天一兩個小時就要上一次廁所）、尿失禁（用力打噴嚏、咳嗽、大笑、跑步、或快步下樓梯時會漏尿）、急尿（一有尿意就非立刻解決不可，否則會坐立難安、疼痛、或失禁）、骨盆腔構造鬆弛造成的器官脫垂（如陰道鬆弛、膀胱尿道脫垂、子宮脫垂、直腸脫垂、小腸脫垂等）、或大便失禁等等。這些問題說嚴重好像也不會太嚴重，但確實會影響到個人的生活品質，造成生活上的不便。&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;以常見的應力性尿失禁來說，一開始可能只是偶而突然打噴嚏或用力咳嗽時會有漏尿的情況，但隨著尿失禁的頻率增加，為了避免意外尿濕褲子出醜，大部分的人會養成一種習慣，一有輕微的尿意就趕緊跑廁所，久而久之，習慣成自然，膀胱可承受的容量減少，頻尿的情況就愈來愈嚴重，不但白天常常跑廁所，半夜更因為要起來尿好幾次而造成睡眠障礙；有的人因此而不敢出遠門，有的人隨身墊著護墊，有的人一天要換好幾條內褲；有些人因此不敢運動，更有人因此退縮家中足不出戶，遠離社交圈。從單純的應力性尿失禁，到最後合併有所謂的『膀胱過動症』，不但生理上受影響，心理壓力之大可想而知。 尿失禁嚴重度的定義是採用Williams的分類法依據不同程度的身體活動下所發生的漏尿量將尿失禁的嚴重程度分為四等級輕度(gradeI)指身體強烈活動下(嚴重咳嗽.跳躍)發生微量漏尿不需要任何保護措施中度(GradeII)是指身體中度活動下(大笑跑步)發生中度漏尿所以活動時需要用護墊保護中重度(GradeIII)指身體在輕度活動下(走路改變姿勢)發生嚴重的漏尿，除了在休息時，否則需要持續的使保護措施。重度(GradeIV)，指休息時亦會漏尿，需要持續的使用護墊或尿布保護。輕度可以用凱格爾運動或骨盆腔運動改善，中重度則需用手術治療才可的到有效改善． 造成婦女骨盆腔器官組織鬆弛的原因很多。先天性的原因如結締組織異常：後天性的原因主要是陰道生產後的復原不完全（骨盆腔一些支撐的韌帶斷裂或鬆弛、骨盆底肌肉裂傷、或神經受損後造成肌肉萎縮等）；另外一些可能加重症狀的原因如肥胖、長期做粗重工作、慢性咳嗽、或更年期後女性賀爾蒙不足等。 依據統計，有高達20%-50% 的婦女有這方面的困擾，但實際因為這些問題到門診求醫的人數不到5%。一方面是因為許多人認為這是非常丟臉的事，不敢啟齒，一方面是觀念錯誤，以為這些問題是上了年紀老化的自然現象，安於現狀；也有許多人認為治療方法太麻煩或太痛苦，不敢接受治療，勉強忍耐。]]></summary>
    <content type="html"><![CDATA[<P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">約有百分之二十到三十的成年婦女有尿失禁的問題，只是症狀程度不同而已。子宮摘除手術的婦女也有高達百分之九到十三會尿失禁。子宮脫垂、骨盆鬆弛患者中更有高達百分之三十六到百分之八十的應力性尿失禁患者存在。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;<!-- more --></SPAN></P> <P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">身為女人是一種宿命也是一種使命</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 標楷體; mso-hansi-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">, </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">經常會為一些毛病所困擾，例如頻尿（一個晚上要起來上廁所兩三次，或白天一兩個小時就要上一次廁所）、尿失禁（用力打噴嚏、咳嗽、大笑、跑步、或快步下樓梯時會漏尿）、急尿（一有尿意就非立刻解決不可，否則會坐立難安、疼痛、或失禁）、骨盆腔構造鬆弛造成的器官脫垂（如陰道鬆弛、膀胱尿道脫垂、子宮脫垂、直腸脫垂、小腸脫垂等）、或大便失禁等等。這些問題說嚴重好像也不會太嚴重，但確實會影響到個人的生活品質，造成生活上的不便。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Times New Roman','serif'; mso-hansi-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">以常見的應力性尿失禁來說，一開始可能只是偶而突然打噴嚏或用力咳嗽時會有漏尿的情況，但隨著尿失禁的頻率增加，為了避免意外尿濕褲子出醜，大部分的人會養成一種習慣，一有輕微的尿意就趕緊跑廁所，久而久之，習慣成自然，膀胱可承受的容量減少，頻尿的情況就愈來愈嚴重，不但白天常常跑廁所，半夜更因為要起來尿好幾次而造成睡眠障礙；有的人因此而不敢出遠門，有的人隨身墊著護墊，有的人一天要換好幾條內褲；有些人因此不敢運動，更有人因此退縮家中足不出戶，遠離社交圈。從單純的應力性尿失禁，到最後合併有所謂的『膀胱過動症』，不但生理上受影響，心理壓力之大可想而知。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">尿失禁嚴重度的定義是採用<SPAN lang=EN-US>Williams</SPAN>的分類法依據不同程度的身體活動下所發生的漏尿量將尿失禁的嚴重程度分為四等級輕度<SPAN lang=EN-US>(gradeI)</SPAN>指身體強烈活動下<SPAN lang=EN-US>(</SPAN>嚴重咳嗽<SPAN lang=EN-US>.</SPAN>跳躍<SPAN lang=EN-US>)</SPAN>發生微量漏尿不需要任何保護措施中度<SPAN lang=EN-US>(GradeII)</SPAN>是指身體中度活動下<SPAN lang=EN-US>(</SPAN>大笑跑步<SPAN lang=EN-US>)</SPAN>發生中度漏尿所以活動時需要用護墊保護中重度<SPAN lang=EN-US>(GradeIII)</SPAN>指身體在輕度活動下<SPAN lang=EN-US>(</SPAN>走路改變姿勢<SPAN lang=EN-US>)</SPAN>發生嚴重的漏尿，除了在休息時，否則需要持續的使保護措施。重度<SPAN lang=EN-US>(GradeIV)</SPAN>，指休息時亦會漏尿，需要持續的使用護墊或尿布保護</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">。輕度可以用凱格爾運動或骨盆腔運動改善，中重度則需用手術治療才可的到有效改善．</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt">造成婦女骨盆腔器官組織鬆弛的原因很多。先天性的原因如結締組織異常：後天性的原因主要是陰道生產後的復原不完全（骨盆腔一些支撐的韌帶斷裂或鬆弛、骨盆底肌肉裂傷、或神經受損後造成肌肉萎縮等）；另外一些可能加重症狀的原因如肥胖、長期做粗重工作、慢性咳嗽、或更年期後女性賀爾蒙不足等。</SPAN></P><SPAN style="FONT-FAMILY: 新細明體"> <P><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">依據統計，有高達</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">20%-50% </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">的婦女有這方面的困擾，但實際因為這些問題到門診求醫的人數不到</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">5%</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: 'Times New Roman'; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">。一方面是因為許多人認為這是非常丟臉的事，不敢啟齒，一方面是觀念錯誤，以為這些問題是上了年紀老化的自然現象，安於現狀；也有許多人認為治療方法太麻煩或太痛苦，不敢接受治療，勉強忍耐。</SPAN></P></SPAN>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/18611853">(Read More...)</a></div>]]></content>
    <category term="婦女泌尿"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/18611853#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/17304259</id>
    <title><![CDATA[終於找到早晨醒來時來上一次激情性愛的完美藉口]]></title>
    <updated>2008-05-06T00:27:05+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/17304259"/>
    <summary><![CDATA[（中央社台北十一日電）研究人員終於找到早晨醒來時來上一次激情性愛的完美藉口，因為這有益於身體健康。性行為利用到身體每一個肌肉群，讓心肺進行有氧運動，每小時更可燃燒三百卡熱量。 據英國「太陽報」報導，根據北愛爾蘭伯爾發斯特女王大學研究發現，每週最少三次完美的性行為，可以促進心臟功能，罹患心臟病或中風的風險也減半。 研究人員認為，規律性行為也可促進循環，降低血壓。根據這份刊登在「新科學家」期刊的研究，每週兩次性行為能提升人體免疫系統第一道防線免疫球蛋白A（IgA），是最完美的感冒良方。 但是也別做的過火，每週超過三次性行為反而會降低人體防禦能力。 高潮來臨前，體內的喜悅荷爾蒙催產素（oxytocin）濃度增加，身體內也充滿強效腦內啡（endorphins）。 這些天然止痛成分，有助於緩和關節炎與偏頭痛。一次激情的性愛，也代表體內壓力荷爾蒙腎上腺皮質醇（cortisol）的分泌遭到抑制，使人比較不會感到壓力。 因為性行為是一種燃燒卡路里的運動，因此它有助於維持健康的體重，也能夠降低罹患糖尿病的風險。 美國學者針對三百位性生活活躍的女性進行另一項調查，這些女性的性伴侶都不使用保險套，研究發現，她們比較不會得到憂鬱症。 研究人員認為，這是因為她們吸收了荷爾蒙前列腺素（prostaglandin），這種荷爾蒙只有精蟲裡才有。 不過，研究人員也警告說，如果沒有穩定的親密關係可別亂嘗試，性病也是造成憂鬱症的原因。970311]]></summary>
    <content type="html"><![CDATA[<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">（中央社台北十一日電）研究人員終於找到早晨醒來時來上一次激情性愛的完美藉口，因為這有益於身體健康。性行為利用到身體每一個肌肉群，讓心肺進行有氧運動，每小時更可燃燒三百卡熱量。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">據英國「太陽報」報導，根據北愛爾蘭伯爾發斯特女王大學研究發現，每週最少三次完美的性行為，可以促進心臟功能，罹患心臟病或中風的風險也減半。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">研究人員認為，規律性行為也可促進循環，降低血壓。根據這份刊登在「新科學家」期刊的研究，每週兩次性行為能提升人體免疫系統第一道防線免疫球蛋白</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">A</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">IgA</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">），是最完美的感冒良方。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">但是也別做的過火，每週超過三次性行為反而會降低人體防禦能力。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">高潮來臨前，體內的喜悅荷爾蒙催產素（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">oxytocin</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">）濃度增加，身體內也充滿強效腦內啡（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">endorphins</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">）。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">這些天然止痛成分，有助於緩和關節炎與偏頭痛。一次激情的性愛，也代表體內壓力荷爾蒙腎上腺皮質醇（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">cortisol</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">）的分泌遭到抑制，使人比較不會感到壓力。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">因為性行為是一種燃燒卡路里的運動，因此它有助於維持健康的體重，也能夠降低罹患糖尿病的風險。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">美國學者針對三百位性生活活躍的女性進行另一項調查，這些女性的性伴侶都不使用保險套，研究發現，她們比較不會得到憂鬱症。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">研究人員認為，這是因為她們吸收了荷爾蒙前列腺素（</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">prostaglandin</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">），這種荷爾蒙只有精蟲裡才有。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">不過，研究人員也警告說，如果沒有穩定的親密關係可別亂嘗試，性病也是造成憂鬱症的原因。</SPAN><SPAN lang=EN-US style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">970311</SPAN></P>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/17304259">(Read More...)</a></div>]]></content>
    <category term="愛愛"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/17304259#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/16704491</id>
    <title><![CDATA[無張力三合一人工疝氣修補網]]></title>
    <updated>2008-04-19T00:29:01+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/16704491"/>
    <summary><![CDATA[ 這種手術是利用一個比疝氣缺口更大的一體成型人工網具來修補並加強受損的腹壁缺口，整體構造包括上下兩層人工網膜及一連接中軸，網具的中軸用來堵住疝氣缺口，上下兩層人工網膜可貼覆在受損腹壁的內外側，運用水壩修補的抗壓原理加強抗壓力，可擋住腹壁的壓力，不會導致腹壁拉力增加，減少患者術後疼痛與復發的可能性。經過五年的追蹤顯示，使用「無張力三合一人工網」的患者復發率低於 0.05％以下，且兼有手術時間短、疼痛度低、復原速度快等優點，通常患者手術後只需住院 1 ～ 2 天，可以快速回復正常工作及生活。此手術目前屬自費項目，約需新台幣 10,000 元。  &nbsp;     &nbsp;  傳統縫合手術   無張力三合一人工網   腹腔鏡疝氣修補術    手術原理   直接以縫線將受損組織互相拉扯縫補起來的張力手術   置入一體成型的人口網膜，可同時修補各疝氣缺口，並加強受損腹壁內外的鞏固及修護能力   由多個微小切口放入腹腔鏡器械，於腹膜及腹壁間放入人工網膜修補缺口    復發率   10-15 ％   低於 0.05 ％   低於 1-1.5 ％    手術花費   健保給付   約 1 萬元   約 2 萬 5 千元    術後疼痛感   較疼痛   低度疼痛   低度疼痛    恢復期   2 周以上   3-5 天   4-6 天    在美國的使用率  7%:  79%:  14%   併發症  &nbsp;  &nbsp;  較為嚴重   其他說明   縫合處張力大，術後疼痛感較劇，且更容易引起復發   無張力手術原理，不會產生組織拉力、不易復發，且恢復期最短，僅需半身或全身麻醉   手術時間長、自費額最高、需全身麻醉、醫師學習曲線長、  &nbsp; &nbsp; ]]></summary>
    <content type="html"><![CDATA[<P> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">這種手術是利用一個比疝氣缺口更大的一體成型人工網具來修補並加強受損的腹壁缺口，整體構造包括上下兩層人工網膜及一連接中軸，網具的中軸用來堵住疝氣缺口，上下兩層人工網膜可貼覆在受損腹壁的內外側，運用水壩修補的抗壓原理加強抗壓力，可擋住腹壁的壓力，不會導致腹壁拉力增加，減少患者術後疼痛與復發的可能性。<BR>經過五年的追蹤顯示，使用「無張力三合一人工網」的患者復發率低於 0.05％以下，且兼有手術時間短、疼痛度低、復原速度快等優點，通常患者手術後只需住院 1 ～ 2 天，可以快速回復正常工作及生活。此手術目前屬自費項目，約需新台幣 10,000 元。 </SPAN></DIV> <DIV>&nbsp;</DIV> <TABLE style="BORDER-RIGHT: white 1pt outset; BORDER-TOP: white 1pt outset; MARGIN: auto 6.75pt; BORDER-LEFT: white 1pt outset; BORDER-BOTTOM: white 1pt outset" cellSpacing=0 cellPadding=0 align=left border=1> <TBODY> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt">&nbsp;</DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=168> <DIV style="LINE-HEIGHT: 15.45pt"><SPAN style="COLOR: #2f5b6c">傳統縫合手術 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=240> <DIV style="LINE-HEIGHT: 15.45pt"><SPAN style="COLOR: #2f5b6c">無張力三合一人工網 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=192> <DIV style="LINE-HEIGHT: 15.45pt"><SPAN style="COLOR: #2f5b6c">腹腔鏡疝氣修補術 </SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">手術原理 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">直接以縫線將受損組織互相拉扯縫補起來的張力手術 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">置入一體成型的人口網膜，可同時修補各疝氣缺口，並加強受損腹壁內外的鞏固及修護能力 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">由多個微小切口放入腹腔鏡器械，於腹膜及腹壁間放入人工網膜修補缺口 </SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">復發率 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">10-15 ％ </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">低於 0.05 ％ </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">低於 1-1.5 ％ </SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">手術花費 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">健保給付 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">約 1 萬元 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">約 2 萬 5 千元 </SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">術後疼痛感 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">較疼痛 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">低度疼痛 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset; BACKGROUND-COLOR: transparent" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">低度疼痛 </SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">恢復期 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">2 周以上 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">3-5 天 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">4-6 天 </SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">在美國的使用率</SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt">7%:</DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt">79%:</DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt">14%</DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">併發症</SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt">&nbsp;</DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt">&nbsp;</DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">較為嚴重</SPAN></DIV></TD></TR> <TR> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 65.25pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=87> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #003366">其他說明 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 125.95pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=168> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">縫合處張力大，術後疼痛感較劇，且更容易引起復發 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 180pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=240> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">無張力手術原理，不會產生組織拉力、不易復發，且恢復期最短，僅需半身或全身麻醉 </SPAN></DIV></TD> <TD style="BORDER-RIGHT: white 1pt inset; PADDING-RIGHT: 1.5pt; BORDER-TOP: white 1pt inset; PADDING-LEFT: 1.5pt; BACKGROUND: #dce6f7; PADDING-BOTTOM: 1.5pt; BORDER-LEFT: white 1pt inset; WIDTH: 144pt; PADDING-TOP: 1.5pt; BORDER-BOTTOM: white 1pt inset" vAlign=top width=192> <DIV style="LINE-HEIGHT: 12.85pt"><SPAN style="COLOR: #263439">手術時間長、自費額最高、需全身麻醉、醫師學習曲線長、 </SPAN></DIV></TD></TR></TBODY></TABLE> <DIV>&nbsp;</DIV> <DIV>&nbsp;</DIV> <P><!-- more --></P>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/16704491">(Read More...)</a></div>]]></content>
    <category term="泌尿科手術"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/16704491#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/16696721</id>
    <title><![CDATA[體外震波碎石]]></title>
    <updated>2008-04-18T20:49:07+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/16696721"/>
    <summary><![CDATA[ 目前體外震波碎石機，在治療時大多只需要輕微麻醉，甚至完全不需麻醉，整個治療只需大約30～40分鐘。病患除了特殊情況外，一般以門診治療為主，因此術後只要稍做休息就可以回到工作岡位。碎石後後結石排除率可達85%，重複治療率僅為15～30%。 體外電震波碎石術之副作用及居家注意事項 1.&nbsp;&nbsp;&nbsp;&nbsp; 結石排出： 震碎的石頭，必須排出體外，在此過程中，可能造成輸尿管阻塞。若有管阻塞時，需合併其他治療方法如經皮膚腎臟造廔術，或是輸尿管鏡或輸尿管置管治療。一般而言，在數週內碎石可排出體外；但有些病人，要數月時間才能排出體外。因此，術後請務必定期至門診追蹤治療，直到結石完全排出。  2.&nbsp;&nbsp;&nbsp;&nbsp; 疼痛： 在碎石排出體外時，有部分病人會產生疼痛，但大多數的痛可用藥物控制。  3.&nbsp;&nbsp;&nbsp;&nbsp; 多喝水： 碎石術後應多喝開水以利碎石排出體外。多走動可以幫助結石排出，如果不是很痛，可別躺著不動喔! 4.&nbsp;&nbsp;&nbsp;&nbsp; 腎旁血腫或皮下瘀血及血尿： 體外電震波碎石術後，在腎臟周圍或皮下，有少部分的病人會產生輕微血腫，大多數的病人都有輕微血尿，但極少需要特殊治療。  5.&nbsp;&nbsp;&nbsp;&nbsp; 再治療率： 大多數病人只需要一次體外電震波碎石術就可完成治療，但是有百分之三十的病人，需要兩次以上的治療。需事先向健保局申請許可後，方可施行。  6.&nbsp;&nbsp;&nbsp;&nbsp; 長期副作用： 體外電震波碎石術正式開始，到目前為止，此種治療對腎臟以外的器官尚未發現有任何傷害，但是長期的結果還不完全清楚。  哪些情況不能使用或必須特別注意？ 1.&nbsp;&nbsp;&nbsp;&nbsp; 結石本身：結石太大或太小、位置、形狀及分佈都有可能造成使用上的限制  2.&nbsp;&nbsp;&nbsp;&nbsp; 結構因素：合併有輸尿管狹窄、先天畸形等  3.&nbsp;&nbsp;&nbsp;&nbsp; 特殊體質：凝血因子異常或其他出血傾向、心臟疾病等  4.&nbsp;&nbsp;&nbsp;&nbsp; 孕婦、小孩  5.&nbsp;&nbsp;&nbsp;&nbsp; 藥物：服用抗凝血藥物  6.&nbsp;&nbsp;&nbsp;&nbsp; 身材太瘦或太胖：導致無法對準結石  7.&nbsp;&nbsp;&nbsp;&nbsp; 嚴重泌尿道感染：貿然施行會造成敗血性休克  8.&nbsp;&nbsp;&nbsp;&nbsp; 其他：比如肝、腎功能異常  特別注意： 1.&nbsp;&nbsp;&nbsp;&nbsp; 出院後如有絞痛、發燒、血尿過多等異常現象，請立即回泌尿科治療。  2.&nbsp;&nbsp;&nbsp;&nbsp; 在碎石過程中必須以X光定位，病患會暴露在放射線中，因此孕婦並不適合接受此種手術。 ]]></summary>
    <content type="html"><![CDATA[<DIV> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">目前體外震波碎石機，在治療時大多只需要輕微麻醉，甚至完全不需麻醉，整個治療只需大約</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">30</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">～</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">40</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">分鐘。病患除了特殊情況外，一般以門診治療為主，因此術後只要稍做休息就可以回到工作岡位。碎石後後結石排除率可達</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">85%</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">，重複治療率僅為</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">15</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">～</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">30%</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">。</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #ff0000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">體外電震波碎石術之副作用及居家注意事項</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">1.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000080; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">結石排出：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">震碎的石頭，必須排出體外，在此過程中，可能造成輸尿管阻塞。若有管阻塞時，需合併其他治療方法如經皮膚腎臟造廔術，或是輸尿管鏡或輸尿管置管治療。一般而言，在數週內碎石可排出體外；但有些病人，要數月時間才能排出體外。因此，術後請務必定期至門診追蹤治療，直到結石完全排出。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">2.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000080; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">疼痛：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">在碎石排出體外時，有部分病人會產生疼痛，但大多數的痛可用藥物控制。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">3.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000080; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">多喝水：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">碎石術後應多喝開水以利碎石排出體外。多走動可以幫助結石排出，如果不是很痛，可別躺著不動喔</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">!</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">4.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000080; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">腎旁血腫或皮下瘀血及血尿：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">體外電震波碎石術後，在腎臟周圍或皮下，有少部分的病人會產生輕微血腫，大多數的病人都有輕微血尿，但極少需要特殊治療。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">5.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000080; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">再治療率：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">大多數病人只需要一次體外電震波碎石術就可完成治療，但是有百分之三十的病人，需要兩次以上的治療。需事先向健保局申請許可後，方可施行。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l0 level1 lfo1"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">6.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000080; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">長期副作用：</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">體外電震波碎石術正式開始，到目前為止，此種治療對腎臟以外的器官尚未發現有任何傷害，但是長期的結果還不完全清楚。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <!-- more --></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #ff0000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">哪些情況不能使用或必須特別注意？</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">1.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">結石本身：結石太大或太小、位置、形狀及分佈都有可能造成使用上的限制</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">2.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">結構因素：合併有輸尿管狹窄、先天畸形等</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">3.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">特殊體質：凝血因子異常或其他出血傾向、心臟疾病等</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">4.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">孕婦、小孩</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">5.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">藥物：服用抗凝血藥物</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">6.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">身材太瘦或太胖：導致無法對準結石</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">7.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">嚴重泌尿道感染：貿然施行會造成敗血性休克</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l2 level1 lfo2"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">8.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">其他：比如肝、腎功能異常</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><SPAN style="FONT-SIZE: 10pt; COLOR: #ff6699; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">特別注意：</SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l1 level1 lfo3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">1.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #ff0000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">出院後如有絞痛、發燒、血尿過多等異常現象，請立即回泌尿科治療。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 25.5pt; TEXT-INDENT: -18pt; tab-stops: list 36.0pt; mso-pagination: widow-orphan; mso-list: l1 level1 lfo3"><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: Arial"><SPAN style="mso-list: Ignore">2.<SPAN style="FONT-FAMILY: 'Times New Roman'">&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">在碎石過程中必須以</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">X</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">光定位，病患會暴露在放射線中，因此</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #ff0000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">孕婦並不適合接受此種手術。</SPAN><SPAN style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P></DIV>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/16696721">(Read More...)</a></div>]]></content>
    <category term="泌尿科手術"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/16696721#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/16695854</id>
    <title><![CDATA[無切口男性結紮]]></title>
    <updated>2008-04-18T20:11:48+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/16695854"/>
    <summary><![CDATA[&nbsp;

男 性結紮為一種手術簡便，安全有效的避孕方式;在陰囊兩側各切0.3公分的小傷口，再將輸精管拉出切斷綁掉。只像破皮一樣的傷口,不需縫線,當然就沒有拆線的問題手術本身非常簡單快速，大約10分鐘吧! 但是一旦結紮，要重新將輸精管接通的就得靠顯微手術了，而且接通也不一定能懷孕,因此必須慎重考慮再做決定。&nbsp;
會不會影響男性雄風？
男性荷爾蒙與精蟲都是由睪丸製造，但是二者輸出的途徑完全不相同；精蟲經由輸精管運送，荷爾蒙卻是由血管運輸。因此，結紮只是阻斷精蟲的運送路徑,完全不影響性功能。假如有影響，完全是心理因素所造成的。認真說來,結紮後會更無後顧之憂,因為就不會鬧出人命了......
術後二至三個月內，仍須以其他方式避孕，等到射精20次後，精液確定無精蟲後才可免除避孕措施喔。
]]></summary>
    <content type="html"><![CDATA[<p>&nbsp;</p>
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<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">男<img title="尚美診所 結紮志願書.jpg" src="http://pic.pimg.tw/drbird/4b26618f66ee7.jpg?v=1260806551" border="0" alt="尚美診所 結紮志願書.jpg" /> 性結紮為一種手術簡便，安全有效的避孕方式</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">;<br /></span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">在陰囊兩側各切</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">0.3</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">公分的小傷口，再將輸精管拉出切斷綁掉。只像破皮一樣的傷口</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">,</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">不需縫線</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">,</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">當然就沒有拆線的問題</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US"><br /></span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">手術本身非常簡單快速，大約</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">10</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">分鐘吧</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">! </span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">但是一旦結紮，要重新將輸精管接通的就得靠顯微手術了，而且接通也不一定能懷孕</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">,</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">因此必須慎重考慮再做決定。</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">&nbsp;</span></p>
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><span style="FONT-SIZE: 9pt; COLOR: red; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US"><br /></span><span style="FONT-SIZE: 9pt; COLOR: red; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">會不會影響男性雄風？</span></p>
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan"><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">男性荷爾蒙與精蟲都是由睪丸製造，但是二者輸出的途徑完全不相同；精蟲經由輸精管運送，荷爾蒙卻是由血管運輸。因此，結紮只是阻斷精蟲的運送路徑</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">,</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">完全不影響性功能。假如有影響，完全是心理因素所造成的。認真說來</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">,</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">結紮後會更無後顧之憂</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">,</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">因為就不會鬧出人命了</span><span style="FONT-SIZE: 9pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">......</span></p>
<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><span style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">術後二至三個月內，</span><span style="FONT-SIZE: 10pt; COLOR: green; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">仍須以其他方式避孕</span><span style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">，等到射精</span><span style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang="EN-US">20</span><span style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">次後，精液確定無精蟲後才可免除避孕措施喔。</span></p>
<!-- more --></div>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/16695854">(Read More...)</a></div>]]></content>
    <category term="泌尿科手術"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/16695854#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/13532613</id>
    <title><![CDATA[包皮的長度.......]]></title>
    <updated>2008-01-27T11:35:23+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/13532613"/>
    <summary><![CDATA[包皮會不會太長???包皮要割嗎??包皮是鳥鳥的衣服,太大件,太小件,太短都不好包皮適用來保護龜頭的每個人出生時,衣服都是包的緊緊的, 就是生理性包莖&nbsp;大概4歲之後衣服慢慢可以褪下囉!!這是為了青春期作準備了!龜頭是男生性器官最敏感的地方包皮最適合的長度應該是:1. 未勃起時,包皮可以蓋住龜頭的一半以上&nbsp;&nbsp; (可以保護龜頭避免長期跟衣服的摩差而引起敏感度下降)2. 勃起時龜頭可以完全露出來接受性刺激以上是參考,每個人還是會有些微差距,請你的醫生看看吧!!&nbsp; ]]></summary>
    <content type="html"><![CDATA[<p>包皮會不會太長???<br />包皮要割嗎??<br /><br />包皮是鳥鳥的衣服,太大件,太小件,太短都不好<br />包皮適用來保護龜頭的<br />每個人出生時,衣服都是包的緊緊的, 就是生理性包莖&nbsp;<br />大概4歲之後衣服慢慢可以褪下囉!!這是為了青春期作準備了!<br />龜頭是男生性器官最敏感的地方<br />包皮最適合的長度應該是:<br /><br />1. 未勃起時,包皮可以蓋住龜頭的一半以上<br />&nbsp;&nbsp; (可以保護龜頭避免長期跟衣服的摩差而引起敏感度下降)<br />2. 勃起時龜頭可以完全露出來接受性刺激<br /><br />以上是參考,每個人還是會有些微差距,請你的醫生看看吧!!&nbsp; <img src="http://pic.pimg.tw/drbird/thumb_1195802003.jpg" /></p><!-- more -->  <div class="more"><a href="http://drbird.pixnet.net/blog/post/13532613">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/13531108</id>
    <title><![CDATA[新衣服買了，新鞋子買了，那你的內褲是不是也該除舊佈新了一下呢? ]]></title>
    <updated>2008-01-27T10:35:31+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/13531108"/>
    <summary><![CDATA[  那天去電台受訪,call in 問了一個問題: 想送男朋友內褲當禮物,如何選......別看內褲小小一件，對鳥鳥和蛋蛋的健康卻有大大影響喔!如何挑選合適的內褲，是男性保護生殖器的重要課題。小心!不注重內褲可是會影響精蟲品質的喲  男生的大腿與鳥鳥和蛋蛋僻鄰而居，所以大腿內側經常和他們緊貼在一起，可是偏偏大腿內側關節處（鼠蹊部）又是身體排汗量最多處之一，相信很多的男生都有這樣的經驗，重點部位搔癢難耐引發濕疹的經驗。 鳥鳥和蛋蛋容易因為高溫悶熱，導致濕疹，長期下來，也會使蛋蛋溫度過高，影響精蟲製造，甚至妨礙生育能力。因此，男生選擇內褲，應該注重通風、透氣與吸汗，最重要的是，size要適中，不產生壓迫感，以舒適為原則。&nbsp;　　目前市面上的內褲，有三角褲、四角褲及囊袋內褲等，三角褲的包覆效果佳，但剪裁較為貼身，容易產生壓迫感，適合運動時穿著，不過記得選彈性好一點的喔；而四角褲寬鬆且通風，但蛋蛋缺乏撐托，活動時易產生晃動感，在家裡或上班時是不錯的選擇；至於近幾年推出的囊袋型內褲，不但能撐托蛋蛋，無壓迫感且通風涼爽，但由於蛋蛋部分突出，外觀上較為奇特，很多人比較難以接受這類大膽新潮的內褲。總之，舒適空間加上避免升溫，才是最好的選擇。  不過如果鳥鳥和蛋蛋生病時就得仔細挑選囉。以副睪炎為例，應選擇可撐托蛋蛋的三角內褲或囊袋型內褲；而皮膚長濕疹時，則應選擇較寬鬆的四角褲，較通風且可減少摩擦。  另外，在此澄清一個觀念，內褲種類是不會影響鳥鳥和蛋蛋的發育的，發育是由基因和荷爾蒙控制而不是內褲啦。就是是大是小別怪內褲啦!  最後提醒大家,個人衛生習慣和衣物經常換洗也是重要的喲! ]]></summary>
    <content type="html"><![CDATA[<P> <DIV style="PADDING-RIGHT: 0mm; PADDING-LEFT: 0mm; PADDING-BOTTOM: 0mm; PADDING-TOP: 0mm"><SPAN style="BACKGROUND-COLOR: #ffffff"> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="BACKGROUND-COLOR: #ffffff"><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">那天去電台受訪</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">,call in </SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">問了一個問題</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">: </SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">想送男朋友內褲當禮物</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">如何選</SPAN></SPAN><SPAN style="BACKGROUND-COLOR: #ffffff"><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">......<BR><BR></SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">別看內褲小小一件，對鳥鳥和蛋蛋的健康卻有大大影響喔</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">!</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">如何挑選合適的內褲，是男性保護生殖器的重要課題。小心</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">!</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">不注重內褲可是會影響精蟲品質的喲</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">男生的大腿與鳥鳥和蛋蛋僻鄰而居，所以大腿內側經常和他們緊貼在一起，可是偏偏大腿內側關節處（鼠蹊部）又是身體排汗量最多處之一，相信很多的男生都有這樣的經驗，重點部位搔癢難耐引發濕疹的經驗。</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">鳥鳥和蛋蛋容易因為高溫悶熱，導致濕疹，長期下來，也會使蛋蛋溫度過高，影響精蟲製造，甚至妨礙生育能力。因此，男生選擇內褲，應該注重通風、透氣與吸汗，最重要的是，</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">size</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">要適中，不產生壓迫感，以舒適為原則。</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"><BR></SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">&nbsp;　　目前市面上的內褲，有三角褲、四角褲及囊袋內褲等，三角褲的包覆效果佳，但剪裁較為貼身，容易產生壓迫感，適合運動時穿著，不過記得選彈性好一點的喔；而四角褲寬鬆且通風，但蛋蛋缺乏撐托，活動時易產生晃動感，在家裡或上班時是不錯的選擇；至於近幾年推出的囊袋型內褲，不但能撐托蛋蛋，無壓迫感且通風涼爽，但由於蛋蛋部分突出，外觀上較為奇特，很多人比較難以接受這類大膽新潮的內褲。總之，舒適空間加上避免升溫，才是最好的選擇。</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">不過如果鳥鳥和蛋蛋生病時就得仔細挑選囉。以副睪炎為例，應選擇可撐托蛋蛋的三角內褲或囊袋型內褲；而皮膚長濕疹時，則應選擇較寬鬆的四角褲，較通風且可減少摩擦。</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">另外，在此澄清一個觀念，內褲種類是不會影響鳥鳥和蛋蛋的發育的，發育是由基因和荷爾蒙控制而不是內褲啦。就是是大是小別怪內褲啦</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">! </SPAN></P> <P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto"><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">最後提醒大家</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">,</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: '新細明體','serif'; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">個人衛生習慣和衣物經常換洗也是重要的喲</SPAN><SPAN style="FONT-SIZE: 9pt; COLOR: #000000; FONT-FAMILY: 'Arial','sans-serif'; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體">! </SPAN></P></SPAN></DIV>  <div class="more"><a href="http://drbird.pixnet.net/blog/post/13531108">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/13068642</id>
    <title><![CDATA[只是想用有趣的方式來解釋枯燥的醫學知識]]></title>
    <updated>2008-01-16T10:56:22+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/13068642"/>
    <summary><![CDATA[出這本書真的不是為了賺錢啦只是想用有趣的方式來解釋枯燥的醫學知識,雖然還是醫學知識為主,封面設計和銷售方式是出版社的巧思,如有誤導之嫌,在此深表抱歉;我不知道是不是大部份的人都認為這樣希望大家給我意見如果大家都診間趣聞有興趣,我會在盡量下筆紀錄看診有趣的事,但因有些牽涉隱私,著筆需要很小心!!沒人希望看病過程被公諸於世吧!!]]></summary>
    <content type="html"><![CDATA[<div id="ownerReply2181513">出這本書真的不是為了賺錢啦<br />只是想用有趣的方式來解釋枯燥的醫學知識,雖然還是醫學知識為主,<br />封面設計和銷售方式是出版社的巧思,如有誤導之嫌,在此深表抱歉;<br />我不知道是不是大部份的人都認為這樣<br />希望大家給我意見<br />如果大家都診間趣聞有興趣,我會在盡量下筆紀錄看診有趣的事,<br />但因有些牽涉隱私,著筆需要很小心!!<br />沒人希望看病過程被公諸於世吧!!<img src="http://pic.pimg.tw/drbird/thumb_1195802004.jpg" /></div><!-- more -->  <div class="more"><a href="http://drbird.pixnet.net/blog/post/13068642">(Read More...)</a></div>]]></content>
    <category term="性別主流化"/>
    <wfw:comment xmlns:wfw="http://wellformedweb.org/CommentAPI/">http://drbird.pixnet.net/blog/post/13068642#comments</wfw:comment>
  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/13015678</id>
    <title><![CDATA[得獎名單公佈囉！]]></title>
    <updated>2008-01-14T17:38:40+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/13015678"/>
    <summary><![CDATA[恭喜以下得獎者喔！小套套將會在01/21寄送給大家。ujodblackujanny0927map7820boggyjandropdears&nbsp; onetigerrolachenggreedguiltyffmuteki9&nbsp; seabiscuit14&nbsp; 領獎方式和注意事項]]></summary>
    <content type="html"><![CDATA[<font size="2" face="Comic Sans MS">恭喜以下得獎者喔！<br />小套套將會在<strong>01/21</strong>寄送給大家。<br /><br />ujodblacku<br />janny0927<br />map7820<br />boggyjan<br />dropdears&nbsp; <br />onetiger<br />rolacheng<br />greedguilty<br />ffmuteki9&nbsp; <br />seabiscuit14&nbsp; <br /><br /></font><font size="2" face="Comic Sans MS"><a href="../../../e234/post/10534884">領獎方式和注意事項</a></font><br /><font size="2" face="Comic Sans MS"><br /></font><!-- more -->  <div class="more"><a href="http://drbird.pixnet.net/blog/post/13015678">(Read More...)</a></div>]]></content>
    <category term="No Category"/>
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  </entry>
  <entry xmlns:wfw="http://wellformedweb.org/CommentAPI/">
    <id>http://drbird.pixnet.net/blog/post/12501517</id>
    <title><![CDATA[男性更年期從40歲開始]]></title>
    <updated>2008-01-01T23:19:50+08:00</updated>
    <link rel="alternate" href="http://drbird.pixnet.net/blog/post/12501517"/>
    <summary><![CDATA[男性荷爾蒙的分泌高峰期為15-30歲，之後體內含量會以每年1-2%的速率下降，四十歲之後，就會有較明顯的不足症狀產生。 男性荷爾蒙不足的症狀稱為「老化男人的男性荷爾蒙不足」 (Androgen deficiency in aging male, ADAM), 或簡稱為男性更年期(Andropause). 發生時間早為四十來歲，晚則五六十歲，個體差異大&nbsp; 男性更年期主要伴隨以下三大症狀： 1.1.心理層面的情緒和認知功能障礙 :如疲勞、工作能力下降、注意力不集中等 2.2.性功能及性欲減退 3.3.生理層面的機能症狀 :活力下降、肌力下降、內分泌失調，失眠、便秘、骨骼關節疼痛等&nbsp;問卷檢測 聖路易大學男性老化性荷爾蒙低下症問卷調查，只要任一個藍色項目被勾選，或是任三個黑色項目被勾選，即有可能為男性荷爾蒙低下，需進一步驗血。 在最近一個月以來，您是否有以下症狀 &nbsp;&nbsp; 性慾逐漸減低中o是o否 &nbsp;&nbsp; 經常性缺乏元氣o是o否 &nbsp;&nbsp; 體力和耐力變差o是o否 &nbsp;&nbsp; 身高變矮o是o否 &nbsp;&nbsp; 生活變得比較沒樂趣o是o否 &nbsp;&nbsp; 經常覺得悲傷或沮喪o是o否 &nbsp;&nbsp; 勃起較不堅挺o是o否 &nbsp;&nbsp; 運動能力變差o是o否 &nbsp;&nbsp; 吃飽飯後就打瞌睡o是o否 &nbsp;&nbsp; 工作表現不佳o是o否 ]]></summary>
    <content type="html"><![CDATA[<span><img style="LEFT: -4.64%; WIDTH: 1.82%; POSITION: absolute; TOP: 6.66%; HEIGHT: 73.33%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" /></span>男性荷爾蒙的分泌高峰期為15-30歲，之後體內含量會以每年1-2%的速率下降，四十歲之後，就會有較明顯的不足症狀產生。 <div style="tab-interval: 1.0468in" v:shape="_x0000_s1026"><div><span><img style="LEFT: -4.73%; WIDTH: 1.86%; POSITION: absolute; TOP: 6.66%; HEIGHT: 73.33%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" /></span>男性荷爾蒙不足的症狀稱為「老化男人的男性荷爾蒙不足」 (Androgen deficiency in aging male, ADAM), 或簡稱為男性更年期(Andropause). </div><div><span><img style="LEFT: -5.56%; WIDTH: 2.18%; POSITION: absolute; TOP: 6.66%; HEIGHT: 73.33%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" /></span>發生時間早為四十來歲，晚則五六十歲，個體差異大<br /><br />&nbsp; <div style="tab-interval: 1.0468in" v:shape="_x0000_s1026"><div>男性更年期主要伴隨以下三大症狀： </div><div><span style="LEFT: -5.75%; POSITION: absolute">1.</span>1.心理層面的情緒和認知功能障礙 :如疲勞、工作能力下降、注意力不集中等 </div><div><span style="LEFT: -5.75%; POSITION: absolute">2.</span>2.性功能及性欲減退 </div><div><span style="LEFT: -5.75%; POSITION: absolute">3.</span>3.生理層面的機能症狀 :活力下降、肌力下降、內分泌失調，失眠、便秘、骨骼關節疼痛等&nbsp;<br /><br /><div style="tab-interval: 1.0468in" v:shape="_x0000_s1026"><div><strong>問卷檢測 </strong></div><div>聖路易大學男性老化性荷爾蒙低下症問卷調查，只要任一個藍色項目被勾選，或是任三個黑色項目被勾選，即有可能為男性荷爾蒙低下，需進一步驗血。 </div><div>在最近一個月以來，您是否有以下症狀 </div><div><span style="COLOR: #003399"><span style="COLOR: black"><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span></span><span style="COLOR: #003399">性慾逐漸減低中</span><span style="COLOR: #003399">o</span><span style="COLOR: #003399">是</span><span style="COLOR: #003399">o</span><span style="COLOR: #003399">否 </span></div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 18.75%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span>經常性缺乏元氣o是o否 </div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span>體力和耐力變差o是o否 </div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span>身高變矮o是o否 </div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 18.75%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span>生活變得比較沒樂趣o是o否 </div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" /></span>&nbsp;&nbsp; 經常覺得悲傷或沮喪o是o否 </div><div><span style="COLOR: #003399"><span style="COLOR: black"><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span></span><span style="COLOR: #003399">勃起較不堅挺</span><span style="COLOR: #003399">o</span><span style="COLOR: #003399">是</span><span style="COLOR: #003399">o</span><span style="COLOR: #003399">否 </span></div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 18.75%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" /></span>&nbsp;&nbsp; 運動能力變差o是o否 </div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" /></span>&nbsp;&nbsp; 吃飽飯後就打瞌睡o是o否 </div><div><span><img style="LEFT: -5.03%; WIDTH: 2.3%; POSITION: absolute; TOP: 12.5%; HEIGHT: 68.75%" alt="*" src="file:///C:/DOCUME~1/MEIYIN~1/LOCALS~1/Temp/msohtml1/01/clip_image001.gif" />&nbsp;&nbsp; </span>工作表現不佳o是o否 </div></div></div></div></div></div><!-- more -->  <div class="more"><a href="http://drbird.pixnet.net/blog/post/12501517">(Read More...)</a></div>]]></content>
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