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| 不同手术方式治疗尿道下裂术后尿道狭窄 | |
| 引用本文： | 许志坚,柳建军,陈明,吴江,梁杰,李普云. 不同手术方式治疗尿道下裂术后尿道狭窄[J]. 宁夏医学杂志, 2006, 28(8): 591-592 |
| 作者姓名： | 许志坚 柳建军 陈明 吴江 梁杰 李普云 |
| 作者单位： | 广东医学院附属医院,广东,湛江,524001 |
| 摘 要： | 目的探讨尿道下裂术后尿道狭窄的手术治疗效果及术式选择。方法对16例尿道下裂术后尿道狭窄病例的临床资料进行回顾性分析。结果尿道外口狭窄或闭锁8例行尿道外口成形术,6例治愈,2例再发狭窄,予行定期尿道扩张后治愈;单纯吻合口狭窄行狭窄段切除吻合3例,3例治愈;新尿道全段疤痕狭窄3例行全段切除一期尿道重建2例,2例治愈,尿道造瘘二期尿道重建1例,1例治愈;新尿道尿囊形成伴尿道外口狭窄2例行狭窄段切除及尿囊大部分切除成形,2例治愈。结论尿道狭窄是尿道下裂术后严重的并发症,应根据不同的情况选择合理的手术治疗方法。 |
| 关 键 词： | 尿道下裂 尿道狭窄 手术后并发症 |
| 文章编号： | 1001-5949(2006)08-0591-02 |
| 收稿时间： | 2006-04-10 |
| 修稿时间： | 2006-04-10 |
Different surgical treatment of serious urethral stricture after hypospadias surgery |
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| XU Zhi-jian,LIU Jian-gun,CHEN Ming,et al. Different surgical treatment of serious urethral stricture after hypospadias surgery[J]. Ningxia Medical Journal, 2006, 28(8): 591-592 | |
| Authors: | XU Zhi-jian LIU Jian-gun CHEN Ming et al |
| Affiliation: | The Affiliated Hosp. of Guangdong Med. Coll., ghanjiang 524001, Oaina |
| Abstract: | Objective To study the different surgical patterns and effects of urethral stricture after hypospadias surgery.Methods 16 cases ofurethral strictures after hypospadias surgery were retrospectively analyzed.Results Of 8 meatal stenosis or urethral atresia,6 cases were cured,2 patients with urethral restricture were treated with dilatation of urthra;Of 3 simple anastomotic stoma strictures,which underwent urethrotomy,3 cases were cured;Of 2 entire neourethral strictures,which underwent dissection and one-staged urethroplasty,2 were cured;Of 1 case which underwent urethrostomy and two-staged urethroplasty,1 was cured;Of 2 patients with neourethral allantois and meatal stenosis,which underwent allantois resection and urethrotomy,2 were cured.Conclusion Urethral stricture after hypospadias surgery is a serious complication and a different method is chosen according to different conditions |
| Keywords: | Hypospadias Urethral stricture Surgical complication |
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