改良尿道套入法治疗后尿道狭窄

目的评价改良尿道套入法治疗外伤性陈旧性后尿道狭窄或闭锁的疗效.方法回顾性分析1991～2002年采用改良尿道套入法治疗67例后尿道狭窄或闭锁病人的临床资料.结果59例术后排尿通畅,4例术后近期需行尿道扩张,4例失败.无严重并发症.结论改良尿道套入术是治疗后尿道狭窄或闭锁安全有效方法,而且操作简单、并发症少.

Modified urethral pull through procedure for posterior urethral stricture

Objective:To evaluate the efficacy of modified urethral pull through procedure in the operative treatment of posterior urethral stricture or obliteration by trauma.Methods:From 1991 to 2002, modified urethral pull through procedure was carried out in 67 patients with posttraumatic posterior urethral stricture or obliteration.Results: Success had been achieved in 59 with good voiding and no need of dilatation. 4 patients were cured by 3 to 8 times of urethral dilatation. 4 patients failed. No severe complications occurred.Conclusions: Modified urethral pull through procedure is effective, simple with less occurrence of complication in the operative treatment of posterior urethral stricture or obliteration.