前尿道替代膜部尿道治疗男性后尿道狭窄52例报告

李平; 许邦文; 曹成; 潘书权

前尿道替代膜部尿道治疗男性后尿道狭窄52例报告

- 北京军区总医院263临床部泌尿外科(北京, 101149)

详细信息

通讯作者: 曹成,E-mail:caoyvmeng@yeah.net

中图分类号: R695

收稿日期: 2012-12-13

修回日期: 2013-04-10

The experience of treatment of 52 cases male posterior urethral stricture

- Department of Urology, 263 Clinical Department of Beijing Military General Hospital, Beijing, 101149, China

More Information

Corresponding author: CAO Cheng, E-mail: caoyvmeng@yeah.net

Received Date: 13 December 2012

Revised Date: 10 April 2013

摘要

摘要: 目的：探讨长段后尿道狭窄手术治疗方法。方法：回顾性总结前尿道替代膜部尿道端-端吻合治疗狭窄段>2 cm的后尿道狭窄患者52例。结果：一次手术成功49例，成功率94.2%，3例术后尿线细，排尿不畅经内窥镜切除0.3~0.5 cm瘢痕后排尿通畅。随访5~20年，全部排尿通畅，最大尿流率20~25 ml/s，平均22 ml/s。结论：切除狭窄段瘢痕前尿道替代膜部尿道端-端吻合治疗后尿道狭窄成功率高，远期效果好。术中彻底切除瘢痕，满意的无张力外翻端-端吻合及术后预防感染是手术成功的关键。
- 后尿道狭窄 /
- 尿道吻合术
Abstract: Objective: To investigate the surgical treatment of long segment urethral stricture.Method: Retrospective the 52 patients with posterior urethral stricture with length >2 cm using anterior urethra replaced the membranous urethra and performed end-to-end anastomosis.Result: Forty-nine cases successful by once operation, the success rate of 94.2%, 3 cases of postoperative urinary stream fine and urination voiding after 0.3-0.5 cm scar endoscopic resection. Followed for 5-20 years, all of voiding and maximum flow rate 20-25 ml/s, an average of 22 ml/s.Conclusion: The complete resection of the stricture scar and using anterio urethra instead of the membranous urethra and end-to-end anastomosis for urethral stricture have a high success rate, long-term effects is satisfaction. Complete excision the scar, and the satisfaction, no tension, valgus end-to-end anastomosis and postoperative prevention of infection is the key to successful operation.
- urethrostenosis /
- urethral anastomosis

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