论文部分内容阅读
目的探讨改良尿道套入术治疗复杂性后尿道狭窄或闭锁的临床疗效。方法选取我院71例行改良尿道套入术治疗的复杂性后尿道狭窄或闭锁患者,狭窄或闭锁段长3～10cm。62例曾有1～4次手术史。67例经会阴或腹会阴切口,4例经耻骨或切除部分耻骨下缘切口。14例应用游离包皮内板和(或)膀胱黏膜进行尿道替代成形。结果 67例(94.4%)拔管后排尿较满意,其中61例无需尿道扩张,6例尿道扩张3～8次后恢复正常;4例失败。性功能改善7例,恶化2例,余无明显变化。会阴部切口感染3例。结论改良尿道套入术治疗复杂性后尿道狭窄或闭锁是可行的、安全的,具有创伤小、操作简便、成功率高等优点。
Objective To investigate the clinical efficacy of modified urethral catheterization in the treatment of complex posterior urethral stricture or atresia. Methods A total of 71 patients with complicated posterior urethral stricture or atresia treated with modified urethral catheterization were selected. The length of stenosis or atresia was 3 ~ 10cm. 62 cases had a history of 1 to 4 surgeries. 67 cases of perineal or abdominal perineal incision, 4 cases by the pubis or resection of the lower edge of the pubic incision. Fourteen patients underwent free urethral replacement surgeries with free foreskin lining and / or bladder mucosa. Results Sixty-six patients (94.4%) were satisfied with urination after extubation. Among them, 61 cases were without urethral dilatation, 6 cases were urethral dilated 3 ~ 8 times and then returned to normal; 4 cases failed. Sexual function improved in 7 cases, worsening in 2 cases, the remaining no significant change. Perineal incision infection in 3 cases. Conclusions Modified urethral catheterization is feasible, safe, and has the advantages of less trauma, simple operation and higher success rate in the treatment of complex posterior urethral stricture or atresia.