我院为5例长期带造瘘管,多次试验夹管仍不能从尿道通畅排尿的患者,施行前列腺联合部切开术和闭瘘术。恢复了病人正常排尿,随访1年以上,效果良好,现报告如下。一般资料 5例病员年龄65～73岁,平均68岁。膀胱造瘘后带管时间为12～50个月,平均30个月。全部患者均为在家不定期自行换管。其中1例造瘘3年,近1年未换管,导管周围形成4×3×3cm 大小之结石,导管完全堵塞,尿液自导管周围溢出。入院后均行抗炎治疗。以1:5000呋喃西林溶液冲洗膀胱。每例均经夹管3次以上,每次1～12小时不等。完全不能自尿道排尿的2例,尿呈点滴状流出的2例,断续呈细线状排出的1例。造瘘管通畅、尿色基本 Our hospital for 5 cases with long-term fistula, many trials still can not pass from the urinary tract urinary patency patients, the implementation of prostate joint surgery and closed fistula surgery. Restore the normal urination of patients, follow-up more than 1 year, the effect is good, are as follows. General information 5 patients aged 65 to 73 years, mean 68 years. Bladder fistula with tube time of 12 to 50 months, an average of 30 months. All patients are at home from time to time for their own tube. One case of fistula for 3 years, nearly 1 year did not change tube around the catheter to form the size of 4 × 3 × 3cm stones, catheter completely blocked, urine overflow from around the catheter. Anti-inflammatory treatment after admission. Flush bladder with 1: 5000 nitrofurazone solution. Each case by pinch more than 3 times, each 1 to 12 hours. Two cases were completely unable to urinate from the urethra, two cases were exudative in the form of urine, and one case was thinly linearly discharged. Fistula patency, urine color basic