经耻骨会阴联合途径治疗男童复杂性后尿道狭窄或闭锁  

Via pubo-perineal approach to treat complicated posterior urethral stricture or atresia

作　　者：程宗超 黄安康 金三宝[2] 徐佑璋[2] 沈泳 

机构地区：[1]上海市中医药大学附属曙光医院泌尿外科,200021 [2]上海市第六人民医院泌尿外科

出　　处：《中华小儿外科杂志》2002年第2期124-126,共3页Chinese Journal of Pediatric Surgery

摘　　要：目的　评价经耻骨会阴联合途径治疗男童复杂性后尿道狭窄或闭锁的临床疗效。方法　 15例复杂性后尿道狭窄或闭锁的男童均行经耻骨会阴联合途径后尿道端端吻合术 ,其中 3例合并尿道直肠瘘。结果　 15例均一次手术成功 ,术后均能自主排尿 ,排尿通畅。10例术后最大尿流率(MFR)平均 12 .5ml/s,3例术后有尿失禁现象 ,其中 2例 6个月后尿失禁现象明显改善。 11例随访 6～ 36个月 ,排尿仍通畅 ,无需尿扩 ,步态平稳。结论　该术式适于尿道狭窄段较长或伴有尿道直肠瘘、假道等复杂性后尿道狭窄 。Objective To evaluate operative results of pubo perineal approach in boys with complicated posterior urethral stricture or atresia.Methods Fifteen boys of post traumatic posterior urethral stricture or atresia were treated with urethral anastomosis via the pubo perineal approach. Three patients were associated with urethra rectal fistula.Results Good operative results were achieved in all 15 children. The voiding was good with average Qmax being 12.5 ?ml/s in 10 children and no urethral dilatation was necessary. Three children developed urinary incontinence.The follow up of 11 children(6～36 months) revealed normal micturition.Conclusions The procedure is suitable for children with long segment urethral stricture, posterior urethral stricture, urethra rectal fistula, false passage and especially those with recurrent urethral fistula.

关 键 词：复杂性后尿道狭窄 尿道闭锁 男性 儿童 经耻骨会阴联合入路 治疗 手术方法 

分 类 号：R726.9[医药卫生—儿科]