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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 curative effect of complicated urethral stricture. Methods Complex posterior urethral stricture using the perineal or pubis end urethral anastomosis. Complex anterior urethral stricture using anterior urethral cleft, stage II urethroplasty. Female urethral atresia with double labial pedicle flap urethroplasty. Results After 30 cases of complicated urethral stricture, 24 cases (80%) had smooth urination, 4 cases (13%) had poor urination and 2 cases (7%) failed. Conclusion Open surgery is the preferred method for the treatment of complicated urethral stricture.