复杂性后尿道狭窄的手术径路探讨  

Evaluation of the surgical approach in the operation management of complex posterior urethral stricture

作　　者：张炯[1] 徐佑璋[1] 乔勇[1] 吴登龙[1] 陈曾德[1] 

机构地区：[1]上海市第六人民医院,200233

出　　处：《中华泌尿外科杂志》2001年第7期407-409,共3页Chinese Journal of Urology

摘　　要：目的　总结各种复杂性后尿道狭窄手术径路的应用经验 ,提高复杂性后尿道狭窄的治疗效果。　方法　对 72例复杂性后尿道狭窄患者的手术径路进行回顾性分析。　结果　 6 4例(89% )一次手术成功。经会阴径路中采用单纯经会阴径路 34例中治愈 31例 (91% ) ;经会阴耻骨下缘径路 14例中治愈 13例 (93% )。经耻骨径路中采用单纯经耻骨径路 6例中治愈 4例 (6 7% ) ;经耻骨联合会阴径路 18例中治愈 16例 (89% )。 41例长段后尿道狭窄 (>3cm)者治愈 35例 (85 % )。 18例有合并症者治愈 17例 (94% )。　结论　复杂性后尿道狭窄的各种手术径路均存在一定的优缺点 ,选择合适的手术径路应综合多种因素考虑。经会阴径路因操作简单、创伤小、并发症少 ,仍是目前首选的手术径路。Objective To present the preliminary experience on the operative approach in the surgical management of complex posterior urethral stricture. Methods The operative approach of 72 cases of complex posterior urethral stricture was reviewed. Results The total success rate was 89%(64/72). 34 cases were operated with simlpe transperineal approach and the success was rate 91%, transperineal inferior pubic approach was adopted in 14 and the success rate was 93%;simple transpubic approach was conducted in 6 with a success rate of 67% and transpubic perineal approach in 18 with a success rate of 89%. 41 cases with long posterior urethral stricture were operated with a success rate of 85% and 18 cases with complication with a success rate of 94%. Conclusions Each operative approach has it own advantages and disadvantages.Transperineal approach is preferred because the procedure is simpler,less traumatic with less occurrence of complication.

关 键 词：尿道狭窄 外科手术 手术经路 

分 类 号：R699.6[医药卫生—泌尿科学]