| 改良尿道套入术在后尿道狭窄/闭锁治疗的应用 |
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| 作者姓名： | Xie QX Hang CX Zhao L Huang HW Lin XC Xie ZM Hu Z Zhu XZ Xu WJ |
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| 作者单位： | 解放军第一七五医院/厦门大学附属东南医院泌尿外科,福建漳州,363000 |
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| 摘 要： | 目的:评估应用改良尿道套入术治疗后尿道狭窄/闭锁的可行性和安全性,提高手术治疗效果。方法:对应用改良尿道套入术治疗的212例后尿道狭窄/闭锁患者进行回顾性分析,狭窄闭锁段长度1.5～12 cm。66例曾有1～4次失败尿道手术史,208例经会阴或腹会阴切口、4例经会阴+切除部分耻骨下缘切口。15例应用游离包皮内板或/和膀胱粘膜进行尿道替代成形。结果:198例(93.4%)术后排尿满意,其中16例分别行尿道扩张3～15次后排尿正常,14例失败者,10例再次、2例3次手术成功、1例长期尿道扩张、1例长期留置膀胱造瘘管,15例应用尿道替代物成形者14例1次取得成功、1例术后19个月仍定期尿道扩张,所有患者无严重并发症。结论:改良尿道套入术治疗后尿道狭窄/闭锁是可行、安全的,具有创伤小、操作简便、成功率高等优点。尿道狭窄段>5 cm者应考虑应用尿道替代物成形。
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| 关 键 词： | 尿道狭窄 尿道成形术 尿道套入术 |
Modified urethral pull-through procedure for posterior urethral stricture or atresia |
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| Xie QX,Hang CX,Zhao L,Huang HW,Lin XC,Xie ZM,Hu Z,Zhu XZ,Xu WJ.Modified urethral pull-through procedure for posterior urethral stricture or atresia[J].National Journal of Andrology,2011,17(10):905-908. |
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| Authors: | Xie Qing-xiang Hang Cong-xiang Zhao Li Huang Hong-wei Lin Xia-cong Xie Zhi-ming Hu Zhi Zhu Xian-zhong Xu Wei-jie |
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| Institution: | XIE Qing-xiang,HANG Cong-xiang,ZHAO Li,HUANG Hong-wei,LIN Xia-cong,XIE Zhi-ming,HU Zhi,ZHU Xian-zhong,XU Wei-jie Department of Urology,The 175th Hospital of PLA / Dongnan Hospital Affiliated to Xiamen University School of Medicine,Zhangzhou,Fujian 363000,China |
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| Abstract: | Objective: To evaluate the feasibility and safety of the modified urethral pull-through procedure for the treatment of posterior urethral stricture or atresia.Methods: We retrospectively analyzed 212 cases of posterior urethral stricture or atrasia treated by the modified urethral pull-through procedure.The length of the stricture or atrasia was 1.5-12 cm,and 66 cases had experienced 1-4 previous unsuccessful urethral repairs.Simple transperineal approach was adopted in 208 cases and transperineal-inferiorp... |
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| Keywords: | urethral stricture urethroplasty urethral pull-through procedure |
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