尿道成形术后尿道瘘的治疗  

Management of Urethrocutaneous Fistula after Urethroplasty

作　　者：叶林阳[1] 朱晓应[1] 林茂虎[1] 郁华亮[1] 苗芮[1] 

机构地区：[1]解放军总医院附属第一临床医院泌尿外科,北京100037

出　　处：《临床军医杂志》2007年第3期418-419,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨尿道成形术后尿道瘘的治疗方法。方法总结1990—2004年间34例尿道成形术后尿道瘘的病例资料。根据瘘口的大小及位置分别采用简单缝合术、Y-V皮瓣成形术、皮瓣推进术进行修补。结果34例尿道瘘修补术后30例成功,4例失败,其中2例经过再次手术成功,一次修复成功率88.2%(30/34)。结论针对尿道瘘口具体情况,依据尿道瘘修复原则采用不同术式修复尿道瘘,可提高尿道瘘的成功率。Objective To investigate the surgical treatment for patients with urethrocutaneous fistula （UCF） after urethroplasty. Methods Thirty-four cases of UCF from 1990 to 2004 were collected. Simple suture, Y-V skin flap plasty and skin flap advancement were performed according to the size and the location of UCF. Results The success rate of UCF repairing was 88.2% （30/ 34）. Reoperation was performed in two cases and their outcomes were successful. Conclusion UCF repairing according to the principle and the individual circumstance may improve the success rate.

关 键 词：尿道下裂 尿道皮肤瘘 修复术 

分 类 号：R695[医药卫生—泌尿科学]