硅胶管持续扩张法治疗后尿道断裂及狭窄  

Treatment of posterior urethral disruption and stricture by using Silicone tubes continuance expansion

作　　者：吴春华[1] 许建业[1] 梁大用[1] 陈福宝[1] 闫廷雄[1] 

机构地区：[1]宁夏医学院附属医院泌尿外科,宁夏银川750004

出　　处：《现代泌尿外科杂志》2003年第3期139-141,共3页Journal of Modern Urology

摘　　要：目的 探讨骨盆骨折致后尿道断裂及狭窄的治疗方法。方法 对收治的86例患者的临床资料进行回顾性分析。其中,后尿道断裂69例,陈旧性后尿道狭窄17例。行尿道会师牵引术或强行尿道扩张置管术后12-14 d尿道内更换直径为2.4-3.0 mm的硅胶管3根,持续尿道扩张3月后拨除。结果 断裂组治愈63例,良好4例(5.896),总有效率97.1％。失败2例,(2.9％)。狭窄组治愈9例,良好7例(41.2％),总有效率94.1％。失败1例(5.9％)。结论 该法是治疗后尿道断裂的优良术式,可显著降低后尿道狭窄的发生率。对陈旧性后尿道狭窄的治疗也有显著疗效。简单易行,安全可靠,宜推广应用。AIM To study the treatment of posterior urethral disruption and stricture caused by pelvic fracture. METHOD Clinical data of 86 cases were reviewed and analyzed. 69 cases had posterior urethra disruption, 17 posterior urethra stricture. The operations of urethra join forces with traction or forced urethra expansion by means of putting in catheter were carried out. After 12-14 days of operation, simply catheter were replaced by 3 silicone tubes that diameters are 2.4-3.0 mm, tubes were put out after 3 months of urethra continuance expansion. RESULTS Disruptive group: 63 cases are cured, the rate is 91.3% (63/69), improve cases are 4 cases, the rate 5.8% (4/69), total effective rate 97.1%, ineffective rate 2.9% (2/69). Stricture group: 9 cases are cured, the rate is 52.9% (9/17), the improve rate 41.2% (7/17), total effective rate 94.1%, ineffective rate 5.9% (1/17). CONCLUSION The method is good to treat posterior urethra disruption, and posterior urethra stricture is decreased remarkably. The curative effect for obsolete stricture is high, and this method is simple, safe and highly effective, should be popularizing.

关 键 词：硅胶管持续扩张法 治疗 尿道断裂 尿道狭窄 

分 类 号：R696[医药卫生—泌尿科学]