复杂性尿道狭窄的外科治疗  

Surgical treatment for complex urethral strictures

作　　者：金三宝[1] 陈忠[1] 徐佑璋[1] 乔勇[1] 陈曾德[1] 

机构地区：[1]上海市第六人民医院泌尿外科,200233

出　　处：《上海医学》1999年第9期526-528,共3页Shanghai Medical Journal

摘　　要：目的　提高复杂性尿道狭窄的治疗效果。方法　复杂性后尿道狭窄采用经会阴或耻骨的尿道端端吻合术。复杂性前尿道狭窄采用前尿道劈开，二期尿道成形术。女性尿道闭锁采用双阴唇带蒂皮瓣尿道成形术。结果　３０ 例复杂性尿道狭窄手术后，２４ 例（８０ ％ ） 排尿通畅，４ 例（１３ ％ ） 排尿不畅，２ 例（７ ％ ） 失败。结论　开放性手术是复杂性尿道狭窄治疗的首选方法。Objective To improve the therapeutic efficacy for complex urethral strictures. Methods The complex posterior urethral strictures were surgically treated with end to end anastomosis via the perineal or pubic approach. The complex anterior urethral strictures were surgically opened and then urethroplasty was performed after 3～6 monthes. The female urethral obliteration were reconstructed surgically by two pedicle flaps from lip of padenda.Results 24 patients (80%) could pass urine freely. Postoperative urination is not fluent in 4 cases (13%). The operative repair failed in 2 cases (7%).Conclusion Surgical treatment is of first choice for patients with complex urethral strictures.(Shanghai Med J, 1999,22∶526 528)

关 键 词：复杂性 尿道狭窄 外科手术 

分 类 号：R696.05[医药卫生—泌尿科学]