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男性后尿道外伤常由于早期处理不当,形成陈旧性后尿道狭窄,使治疗甚感困难,由于多次手术的失败往往最终需作永久尿流改道手术。本院近年来用直针吻合法进行陈旧性后尿道狭窄疤痕切除尿道再吻合术,取得了比较满意的效果。初步认为直针吻合法具有简化手术、减少并发症、提高治愈率等优点。特介绍如下: 一、手术方法:1.病人取截石位,会阴部切口,充分游离狭窄远端尿道,继之在狭窄远端截除尿道。2作下腹部正中切口,暴露膀胱腔寻见尿道内口。3.充分切除后尿道疤痕至尿道内口。4.以直针(选不锈钢针长15cm,前半
Male urethral trauma often due to improper early treatment, the formation of obsolete posterior urethral stricture, the treatment is very difficult, because the failure of multiple operations often eventually need to be used for permanent urinary diversion surgery. In recent years, our hospital with straight needle anastomosis for the old urethral resection of urethral stricture resection, and achieved satisfactory results. Initially believe that straight-stitch anastomosis has the advantages of simplified surgery, reduce complications and improve the cure rate. Special introduction is as follows: First, the surgical methods: 1. The patient to take lithotomy position, perineal incision, full free distal narrow urethra, followed by the narrow distal urethra. 2 for the lower abdomen incision, exposed bladder cavity to find urethral mouth. 3. Full excision of the urethral scar to the urethral mouth. 4. To a straight needle (stainless steel needle length 15cm election, the first half