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1987～1995年我院应用显微外科技术治疗小儿复杂性尿瘘25例,一次修复成功率达96%。年龄2～14岁,平均5岁。瘘孔直径2～15 mm,除3例瘘孔位于会阴部外,余均位于阴茎体部。瘘孔最多者为5个。17例曾行尿瘘修补术,其中3次手术者4例。本组复杂性尿瘘诊断标准为符合下列任何一项者:①2个以上瘘孔;②伴有尿道部分缺损或做过多次手术,局部瘢痕严重,必须重建新尿道;③合并尿道狭窄、憩室或阴茎下弯。
From 1987 to 1995, 25 cases of pediatric complicated urinary fistula were treated by microsurgical technique in our hospital, and the success rate of primary repair was 96%. Age 2 to 14 years old, average 5 years old. Fistula hole diameter 2 ~ 15 mm, except for 3 cases of fistula hole located in the perineum, the remaining are located in the penis. Fistula hole up to 5. 17 cases had urinary fistula repair, including 3 cases of surgery in 4 cases. The diagnostic criteria for this group of complex urinary fistula in line with any of the following: ① more than two fistula; ② associated with partial urethral injury or multiple surgeries, local scar severe, the urethra must be rebuilt; ③ urethral stricture, diverticulum or Penile curve.