经耻骨尿道成形加带蒂大网膜移植治疗复杂性后尿道狭窄

• 作 者: 罗义云 聂庆熊
• 机 构: 邵阳医院,邵阳医院
• 出 处: 湖南医学
• 发表日期: 1988年02期
• 关键词: 带蒂大网膜移植 后尿道狭窄 耻骨联合 膀胱造瘘术 耻骨上膀胱造瘘 端端吻合 骨盆骨折 尿瘘 排尿正常 阴茎脚

我院对4例骨盆骨折引起后尿道狭窄的患者经耻骨尿道端端吻合加带蒂大网膜移植,经6～12个月随访,效果满意。 临床资料 4例均为男性,年龄26～53岁,均因外伤性骨盆骨折引起尿道膜部断裂,致后尿道完全闭塞。1例并有左髂骨、左髋关节多发性骨折、左下肢广泛撕裂伤而行左半骨盆切除。所有患者曾作多次膀胱造瘘术(5次

In our hospital, 4 cases of posterior urethral stricture caused by pelvic fractures were transplanted through the pubic urethral anastomosis plus pedicled omental, and the results were satisfactory after 6 ~ 12 months of follow-up. Four cases of clinical data were male, aged 26 to 53 years old, all due to traumatic pelvic fracture caused by urethral membrane rupture, resulting in complete occlusion of the posterior urethra. One case had left ilium, multiple fractures of the left hip joint, extensive left lower limb laceration and left pelvic excision. All patients had multiple bladder ostomy (5 times