摘要
目的探讨各种尿道假道的外科治疗方法及疗效。方法回顾总结32例男性尿道假道患者(年龄15～58岁,平均32岁)的外科治疗资料。3例为行膀胱镜检查致尿道假道2,例为人为插入金属异物致尿道假道,6例为导尿使用金属探条致尿道假道2,1例为尿道狭窄行尿道扩张致尿道假道,术前均行尿道造影和输尿管镜尿道检查。10例行腔镜手术(假道长度<2cm)2,2例行开放手术(假道长度>2cm)。术后随访12～48个月,平均36.6个月。结果 26例排尿满意,无尿失禁及排尿困难,术后需定期行尿道扩张5例1,例因排尿困难再次手术。结论尿道假道多因对尿道狭窄盲目行尿道扩张所致,可引起患者明显的排尿困难,对于长度较短的假道(<2cm)可采用腔镜手术充分切开假道,对于较长的假道(>2cm),建议采用开放手术,分离找到真道后重新吻合以恢复患者的正常排尿。
Objective To explore the related issues of surgery of false passage in posterior urethra.Methods The data of 32 cases of false passage in posterior urethra who were hospitalized in our department were reviewed and analyzed to summarize our experience.The medical records and data of follow up of 32 false passage in posterior urethra patients with age ranging from 15 to 58（mean 32 years） were retrospectively analyzed.Among the 32 patients,3 resulted from incorrect cystoscopy,2 resulted from intentional insertion of metallic foreign body,6 resulted from incorrect urethral catheterization with metal urethral bougie,and the other 21 because of robustious urethral sounding in urethral stricture.Urethrography and ureteroscope of urethral were performed before operation.Optical urethrotomy was performed in 10 patients（false passage length〈2cm） and open surgery in 22 patients（false passage length〉 2cm）.Follow-up ranged from 12 to 48 months（mean 36.6 months）.Results Twenty-six cases had normal urination without incontinence and dysuria.Five cases had regular urethral sounding and 1 case accepted resurgery because of dysuria.Conclusion False passage in posterior urethra often results from incorrect urethral sounding in urethral stricture.The anastomotic urethroplasty of real passage is better than the optical urethrotomy in the false passage with length of longer than 2cm.
出处
《创伤外科杂志》
2011年第2期149-151,共3页
Journal of Traumatic Surgery
关键词
尿道狭窄
尿道假道
造影
手术
urethral stricture
false passage
urethrography
surgery
