经会阴途径后尿道吻合术治疗小儿外伤性后尿道狭窄  

Posterior urethral anastomosis for children with traumatic posterior urethral strictures

作　　者：莫家骢[1] 刘文旭[1] 李穗生[1] 孙俊杰[1] 谢家伦[1] 

机构地区：[1]中山大学附属第一医院小儿外科,广州510080

出　　处：《中华小儿外科杂志》2004年第6期21-23,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　探讨会阴途径后尿道吻合术治疗小儿外伤性后尿道狭窄的适应证、手术原则、并发症。方法　经会阴途径后尿道吻合术治疗小儿外伤性后尿道狭窄或闭锁 35例。结果　随访 2 8例 ,随访率 80 .0 %。2 8例共治愈 2 1例 ,治愈率 75 .0 %。结论　经会阴途径尿道吻合术可作为开放手术治疗小儿外伤性后尿道狭窄的首选术式 ;彻底切除尿道周围瘢痕达到黏膜对黏膜无张力吻合是手术的关键 ;对后尿道狭窄闭锁段长者 ,加用长直针吻合法 ,可取满意的疗效。Objective To review the indications, operative principles and complications of posterior urethral anastomosis in children with traumatic posterior urethral stricture.Methods Thirty five children with traumatic posterior urethral stricture who underwent to posterior urethral anastomosis in this institute were retrospectively analyzed.Results Among 28 patients were followed up, 21 were recovered by perineal urethral anastomosis. The long-term success rate was 75.0% .Conclusions The satisfactory results...

关 键 词：尿道 损伤 尿道狭窄 泌尿外科手术方法 

分 类 号：R726.92[医药卫生—儿科]