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1974年以来,我院对10例难治性后尿道狭窄进行经耻骨途径膀胱尿道吻合术,现报告于后。一、病例分析 10例中,年龄为8～54岁(平均32岁)。所有病例均有骨盆骨折及后尿道断裂伤,其中并发会阴痿2例,耻骨骨髓炎2例,膀胱周围脓肿1例,前列腺部尿道假道形成1例,半数以上已作过4～6次手术。损伤性狭窄段在膜部者5例,膜部及球部1例,膜部及前列腺部3例,膜部、球部及前列腺部1例。狭窄段长度4.5～5厘米者3例,2～3厘米4例,另有3例未记载长度。有的患者长期耻骨上膀胱引流达3年之久,病程最长者15年,膀胱容量最小者(腰麻下)仅180毫升。
Since 1974, our hospital on the 10 cases of refractory posterior urethral stricture by the puborectal anastomosis bladder and urethra, are reported later. First, the case analysis of 10 cases, aged 8 to 54 years (mean 32 years). All cases had pelvic fractures and posterior urethral rupture, including 2 cases of recurrent atrophy, 2 cases of pubis osteomyelitis, 1 case of abscess around the bladder, 1 case of prostatic urethra, more than half of which had 4 to 6 surgeries . There were 5 cases of injured stenosis in the membranous part, 1 part of membranous part and bulbous part, 3 cases of membranous part and prostatic part, 1 part of membranous part, bulbous part and prostate part. The length of the narrow section of 4.5 to 5 cm in 3 cases, 2 to 3 cm in 4 cases, while the other 3 cases did not record the length. Some patients with long-term suprapubic bladder drainage for 3 years, the longest duration of 15 years, the smallest of the bladder capacity (under spinal anesthesia) only 180 ml.