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小儿后尿道损伤显较成人少见,我院自1969、10～1982、10共收治16例,其中新鲜后尿道损伤7例,陈旧性尿道狭窄9例,对后尿道损伤的诊断并不困难。在治疗过程中,我们体会到后尿道损伤及其引起的尿道狭窄处理是较为困难的。我们认为新鲜之后尿道损伤,如系不完全裂伤,应放置导尿管或作耻骨上膀胱引流,以期待自行愈合,如系完全性裂伤应在伤情允许下,经会阴部作后尿道吻合术,陈旧性后尿道狭窄,经会阴部后尿道吻合术,效果不理想,最好经耻骨途径作尿道端端吻合术。在小儿采用经耻骨途径作尿道端端吻合术,并无困难,亦无任何严重之并发症。对那些经会阴途径修补失败或有反覆感染的小儿病例来说,这是一可取的径路。
Pediatric posterior urethral injury was significantly more common in adults than in our hospital since 1969,10 ~ 1982,106 were treated 16 cases, including 7 cases of fresh posterior urethral injury, 9 cases of old urethral stricture, the diagnosis of posterior urethral injury is not difficult. In the course of treatment, we realize that posterior urethral injury and urethral stricture caused by it is more difficult. We think fresh urethral injury, such as incomplete laceration, should be placed on the catheter or for suprapubic bladder drainage in the hope of self-healing, such as complete laceration should be in the injury permit, the perineal urethra Anastomosis, the old posterior urethral stricture, the perineal urethral anastomosis, the effect is not satisfactory, the best way through the pubic urethral anastomosis. There is no difficulty in pediatric urethral endoscopic anastomosis, nor any serious complications. This is a desirable route for pediatric cases that have failed or have been repeatedly infected by the perineal pathway.