32例外伤性尿道狭窄术后排尿困难临床病理诊治分析  

Clinical diagnosis and treatment of dysuresia after operation for traumatic urethral stricture:experience with 32 cases

作　　者：张庆华[1] 李雪梅[1] 卢根生[1] 宋波[1] 金锡玉[1] 

机构地区：[1]第三军医大学西南医院,重庆400038

出　　处：《重庆医学》2007年第14期1348-1349,共2页Chongqing medicine

基　　金：创伤;烧伤与复合伤国家重点实验室开放课题(2006A)

摘　　要：目的探讨外伤性尿道狭窄术后排尿困难的形成原因及处理对策。方法总结2004年3月～2006年9月收治的32例外伤性尿道狭窄术后出现排尿困难患者,常规行尿道造影检查,术中切除组织行常规病理学检查,寻找术后排尿困难原因及防治措施。结果尿道狭窄术后排尿困难原因中包括瘢痕过度增生者18例(56.25%),瘢痕组织切除不彻底或吻合口有张力7例(21.87%),尿道端侧吻合者5例(15.63%),膀胱纤维化者2例(6.25%)。结论针对术后排尿困难原因,采取有效防治措施,进一步提高尿道狭窄手术治疗的成功率。Objective To investigate the causes of dysuresia after operation for the traumatic urethral stricture. Methods Thirty-two cases of dysuresia after operation for the traumatic urethral stricture were retrospectively studied and analyzed. Results Of 32 cases dysuresia after operation for traumatic urethral stricture, 18 （ 56.25% ） were excessive growing of scar tissue, 7 （21.87 %） were scar tissue without complete resection or high tension at the anastomosis site, 5 （15.63 %）were end-to-side anastomosis and 2 （6.25%） bladder fibrosis. Conclusion To improve the curative effect the surgical treatment of traumatic urethral stricture, the causes of dysuresia should be kept in mind and prevented.

关 键 词：尿道狭窄 尿道瘢痕 尿道造影 病理学 

分 类 号：R699[医药卫生—泌尿科学]