自制单J管和留置医用尼龙线防治儿童创伤性后尿道狭窄

目的　提高儿童创伤性后尿道狭窄的防治水平。　方法　骨盆骨折伴后尿道断裂 2 2例 ,均为男性 ,平均年龄 9岁。行尿道会师术时尿道内留置尼龙线。 9例术后 3个月内再次出现尿道狭窄 ,采用自制单J管在尼龙线引导下行尿道扩张术。　结果　 9例患儿术中耐受性好。排尿困难完全缓解后拆除尼龙线 ,均获成功。随访 3～ 2 4个月 ,排尿正常。　结论　自制单J管和医用尼龙线治疗儿童尿道会师术后后尿道狭窄效果显著 ,具有取材方便、简单、实用的优点。患儿易于配合 ,能够很好地达到治疗目的

Self-designed single J tube and medical nylon string for the prevention and treatment of child traumatic posterior urethral stricture

Objective To improve the prevention and treatment level of child traumatic posterior urethral stricture. Methods This series included 22 male children (mean age 9 years) with pelvic fracture complicated by posterior urethral disruption.A medical nylon string was indwelled after uretheral reunion operation.Urethral stricture recurred in 9 patients 3 months after the operation,and they were all cured by performance of urethra dilatation with self-designed single J tube under the guidance of the medical nylon string. Results All of the 9 were doing well during the operation.The medical nylon string was not taken out until dysuria disappeared completely.The cure rate was 100%.All the cases were followed up for a mean period of 15 months(range,3 to 24 months).All had normal urination. Conclusions Application of self-designed single J tube and medical nylon string is effective,simple and economical for the treatment of child traumatic posterior urethral stricture.It is easy both for the doctors' training and for the children's cooperation.Thus,it provides a new approach for the prevention and treatment of child traumatic posterior urethral stricture.