前尿道替代膜部尿道治疗男性后尿道狭窄52例报告

目的：探讨长段后尿道狭窄手术治疗方法。方法：同顾性总结前尿道替代膜部尿道端端吻合治疗狭窄段〉2cm的后尿道狭窄患者52例。结果：一次手术成功49例，成功率94．2％，3例术后尿线细，排尿不畅经内窥镜切除0．3～0．5cm瘢痕后排尿通畅。随访5～20年，全部排尿通畅，最大尿流率20～25ml／s，平均22ml／s。结论：切除狭窄段瘢痕前尿道替代膜部尿道端一端吻合治疗后尿道狭窄成功率高，远期效果好。术中彻底切除瘢痕，满意的无张力外翻端一端吻合及术后预防感染是手术成功的关键。

The experience of treatment of 52 cases male posterior urethral stricture

Objective： To investigate the surgical treatment of long segment urethral stricture. Method： Retrospective the 52 patients with posterior urethral stricture with length 〉2 cm using anterior urethra replaced the membranous urethra and performed end-to end anastomosis. Result： Forty nine cases successful by once operation, the success rate of 94.2%, 3 cases of postoperative urinary stream fine and urination voiding after 0.3 0.5 cm scar endoscopic resection. Followed for 5 20 years, all of voiding and maximum flow rate 20-25 ml/s, an average of 22 ml/s. Conclusion： The complete resection of the stricture scar and using anterio urethra instead of the membranous urethra and end-to-end anastomosis for urethral stricture have a high success rate, long-term effects is satisfaction. Complete excision the scar, and the satisfaction, no tension, valgus end to end anastomosis and postoperative pre- vention of infection is the key to successful operation.