论文部分内容阅读
目的 探讨后尿道狭窄开放性手术失败的原因及处理措施。 方法 总结 1992年 1月～ 1998年 12月收治骨盆骨折所致后尿道狭窄再手术病例 6 2例 ,回顾性分析失败原因及防治方法。 结果 在 6 8例次失败原因中早期手术处理不当 5例次 (7% ) ,手术时瘢痕组织切除不彻底或有张力吻合 36例次 (5 3% ) ,围手术期感染控制不力 2 1例次 (31% ) ,合并假道、瘘道处理不当 6例次(9 % )。 结论 针对手术失败原因 ,采取有效措施 ,可提高后尿道狭窄手术成功率。
Objective To investigate the causes of failure of open urethral stricture surgery and its treatment measures. Methods From January 1992 to December 1998, 62 cases of urethral stricture and urethral stricture treated by pelvic fracture were retrospectively analyzed, and the causes of failure and prevention and treatment were retrospectively analyzed. Results Of the 68 failures, 5 cases (7%) had improper early surgical treatment, scar incomplete resection or 36 cases (53%) underwent tension operation, and 21 cases had poor perioperative infection control (31%), fake merger fistula, improper treatment of 6 cases (9%). Conclusions Aiming at the reasons of operation failure, taking effective measures can improve the success rate of posterior urethral stricture.