复发性尿道狭窄的手术治疗(附21例报告)  

Reconstruction Treatment of Recurrent Urethral Stricture

作　　者：曾荣[1] 李勇[1] 邓小英[1] 张剑波[1] 王三富[1] 

机构地区：[1]湘南学院附属医院泌尿外科,湖南郴州423000

出　　处：《湘南学院学报（自然科学版）》2004年第3期10-11,共2页

摘　　要：目的　探讨复发性尿道狭窄的手术方法。方法　对 2 1例再次尿道成形术后的患者资料进行回顾性分析 ,根据狭窄部位和长度不同 ,对手术方法进行探讨。结果　治疗 2 1例 ,18例再手术成功 ,有效率为 85 .7%。结论　重建术方法的选择取决于尿道狭窄段的部位和长度。后尿道狭窄、短的前尿道狭窄采取狭窄段切除端一端吻合术非常可靠 ;对于长的前尿道狭窄 ,皮瓣移植尿道成形术比较理想。Objective To explore the methods of repeat Uret hr oplasty in cases with recurrent stricture after the failure of previous anterior u rethroplasty.Methods The data of 21 cases with recurrent stricture af ter previous urethroplasty anterior urethral reconstruction was analyzed retrosp ectively. Reconstructive methods varied from the location and stricture length.Results The excellent results were obtained in 18 out of 21 cases(85.7%).Conclusions Guidelines for urethral reconstuction afte r failed anterior urethroplasty are predicated on location and stricture length. End-to-end urethroplasty with stricture excision is highly reliable for bulbar and short preurethral strictures for which previous operative repair has faile d. Grafls are best used selectively in the long preurethral strictures.

关 键 词：复发性尿道狭窄 手术治疗 手术方法 皮瓣移植尿道成形术 吻合术 

分 类 号：R696[医药卫生—泌尿科学]