改良会阴切口疤痕切除对端吻合治疗后尿道狭窄闭锁  

A modified transperineal approach for removing scar and end to end anostonosis to treat posterior urethral stricture and atresia

作　　者：蒋先镇[1] 刘玉明[1] 钟狂飙[1] 蒋志强[1] 

机构地区：[1]中南大学湘雅三医院,长沙410013

出　　处：《中国男科学杂志》2007年第12期53-54,57,共3页Chinese Journal of Andrology

摘　　要：目的报告经会阴瘢痕切除尿道对端吻合治疗后尿道狭窄闭锁之手术效果。方法采用经会阴途径切断会阴中心腱,切除耻骨联合下缘,直视下切除瘢痕,行尿道对端吻合的方法治疗后尿道狭窄闭锁31例。结果30例1次手术修补治愈,1例经3次手术方治愈。追踪观察最短1年,最长10年。排尿通畅,平均尿流率(13.8±3.7)ml/s,2例有尿失禁现象。结论改良会阴切口暴露良好,切除瘢痕后能获得可靠对端吻合,疗效满意。Objective To evaluate the treatment of traumatic posterior urethral stricture and atresia via.a modified transperineal approach. Methods The transperineal approach was adapted in 31 cases with transecting the central perineal tendon, excising the ligaments of arcuate pubis and the traumatic scar, so that end-to-end anastomosis of urethra could be achieved with good exposure. Results 30 cases were cured after the first operation, whereas one patient needed the procedure for 3 times. It was urinary patent with average uriary flow rate （13.8±3.7）ml/s in 29 cases, and 2 cases incontinence. Conclusion Modified transperineal approach provide a good exposure for the anastomosis of urethra. The treatment results are satisfactory.

关 键 词：尿道狭窄 外科学 

分 类 号：R695.4[医药卫生—泌尿科学]