复杂性尿道狭窄的诊断和外科治疗  

Diagnosis and surgical treatment of complex urethral stricture

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

机构地区：[1]上海交通大学附属上海市第六人民医院泌尿科,上海200233

出　　处：《临床泌尿外科杂志》2002年第11期612-613,共2页Journal of Clinical Urology

摘　　要：目的:提高复杂性尿道狭窄的诊断水平和治疗效果。方法:诊断采用膀胱尿道造影、经直肠尿道超声。治疗采用经会阴耻骨联合途径的尿道端端吻合术,游离颊粘膜、膀胱粘膜及带蒂包皮内板、纵隔阴囊皮瓣代尿道一期尿道成形术,女性尿道闭锁采用双阴唇带蒂皮瓣尿道成形术。结果:32例患者,术后25例排尿通畅,5例排尿不畅,2例失败。结论:膀胱尿道造影结合经直肠尿道B超是确诊尿道狭窄或闭锁严重程度的重要手段。根据不同病情选用不同的手术方法有利于复杂性尿道狭窄的治疗。Purpose: To improve the diagnosis and treatment of complex urethral stricture. Method; Diagnosis methods included cystourethrography,transrectal sonourethrography. Treatment programs included perineal repair or combined transpubic and perineal urethroplasty, one-stage free buccal mucosa, bladder mucosa and pedicled pre-putial patch, mediastinum scrotal flap urethroplasty. For atreturethria in female we used one-stage pedicled labial patch urethroplasty. Result; In 32 patients,25 patients had good voiding,5 patients had dysuria and 2 failure. Conclusion; Combined cystourethrography and transrectal sonourethrography could make a definitive diagnosis of urethral stricture. Depending on different patient's pathological condition, a suitable surgical method should be selected to be performed so as to obtain the best surgical results.

关 键 词：复杂性尿道狭窄 诊断 外科治疗 B超 尿道闭锁 

分 类 号：R696[医药卫生—泌尿科学]