摘要
目的 探讨直肠尿道瘘手术修复的新方法。方法 采用会阴阴囊岛状皮管一期尿道成形术治疗9例直肠尿道瘘患者。手术经会阴入路,切除瘘口部尿道并修补直肠前壁后,以会阴阴囊岛状皮管一期尿道成形替代瘘口部尿道。结果 9例均获治愈。术后随访2～6年,直肠尿道瘘均无复发。结论 该术式设计新颖,直肠与尿道间无需使用其他充填物,是治疗直肠尿道瘘的较理想的方法。
Objective To study a new procedure of surgical repairment of rectourethral fistula.Method By the perineum approach one stage urethroplasty using island skin tubes from perineum and scrotum has been adopted after the resection of fistular urethra and repairment of the defect of the anterior wall of rectum to substitute the defect of urethra in 9 cases during 1992-1998.Result The 9 cases were all cured and have been followed-up for 2 6 years without recurrence of rectourethral fistula.Conclusion This procedure was regarded as an ideal technique for the closure of rectourethral fistula especially for those complicated with urethra stricture.
出处
《临床外科杂志》
1999年第5期272-273,共2页
Journal of Clinical Surgery
关键词
直肠尿道瘘
修补
岛状皮管
Rectourethral fistula Repair Island skin tube
