外伤性后尿道断裂置管Ⅰ期吻合治疗体会

目的　探讨外伤性后尿道断裂Ⅰ期手术吻合及预防尿道狭窄发生的机理。方法　采用腹会阴部联合切口 ,尿道置F18- 2 2双腔管做支架引流 ,尿道断端用 1- 0肠线间断外翻缝合。结果　 9～ 10周拔除尿管后排尿通畅 ,仅有 3例尿线变细 ,经尿道扩张后消失。随访 2年无 1例尿道狭窄。结论　创伤小 ,出血少 ,并发症少 ,术后排尿通畅。

Experiences of Anastomosis of Rear Urethral Rupture

Objective To study anastomosis of rear urethral rupture and prevent urethral stricture.Methods Abdominperineal operations have been performed, F18-22 double tubes have been put into urethra .In order to drainage,urethral ruptured ends have been sutured.Results Most of the patients urinate easily after the urinatubes have been taken out after 9 to 10 weeks.Only three patients urinate less and the urine has beeome thin a month later. After the urethras have been dilated.the arination has become normal .No cases of urethral stricture has been found during two year`s visit. Conclusion This operating method has small cuts,less bleeding and less complications.The patients urinate easily after the operations.