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后尿道狭窄手术治疗１０年回顾长治医学院附属医院（０４６０００）左景我院自１９８２年１月至１９９１年１２月共收治后尿道狭窄６８例。全部病例均以会阴径路行开放性手术修补。现作回顾性分析如下：临床资料本组６８例全为男性。年龄最大７０岁，最小９岁，其中外伤性后尿道狭窄５９例。炎性后尿道狭窄９例。前者５９例中，３１例为伤后（骨盆骨折）仅单纯作耻骨上膀胱穿刺造瘘，３个月后再行二期修补。另２８例则系在基层医院会师术失败或其他处理不当转来本院再次手术。这部分病例中合并尿道会阴瘘者６例。尿道直肠瘘者２例。尿道憩室２例。尿道歧道３例。膀胱异物结石２例，尿外渗和尿毒症各１例。尿道狭窄最长４，５公分，其余均在１．５～３公分范围内。手术行端端吻合５５例。Ｂａｄｅｎｎｏｃｈ牵引套入法１３例，除１例因手术时未切除尿道会阴瘘导致切口感染而失败经再次手术成功外，其余病例均一次手术成功。术后常规行预防性尿道扩张，每周１次，共３～４次。４８例得到随访，随访率７０．６％。随访最短３个月，最长１０年。随访结果：优（排尿毫不费力，尿线粗细与伤前相近，不需扩张尿道）３８例。良（排尿无困难，但尿线粗细未恢复到伤前水平，偶需扩张尿道）７例。差（排尿困难，尿
Surgical treatment of posterior urethral stricture for 10 years review Changzhi Medical College Hospital (046000) left view Our hospital since January 1982 to December 1991 were treated 68 cases of posterior urethral stricture. All cases were perineal path line open surgical repair. A retrospective analysis is as follows: Clinical data 68 patients in this group are all men. The oldest 70 years old, minimum 9 years old, of which 59 cases of traumatic posterior urethral stricture. Inflammatory posterior urethral stricture in 9 cases. The former 59 cases, 31 cases of injury (pelvic fracture) only as a simple suprapubic bladder puncture fistula, three months after the second line of repair. The other 28 cases were in the grassroots hospital will be unsuccessful or other improper handling of the hospital reoperation. 6 cases of urethral episiotomy in this part of cases. 2 cases of urethral rectal fistula. Urethral diverticulum in 2 cases. 3 cases of urethral obstruction. 2 cases of bladder foreign body stones, 1 case of extravasation and uremia. Urethral stenosis up to 4,5 cm, the rest are in the 1.5 to 3 cm range. 55 patients with end-line anastomosis. Badennoch traction catheterization in 13 cases, except for 1 case of urethral perineal fistula incision infection caused by failure of the operation after the success of the reoperation, the remaining cases were a successful operation. Preoperative routine preventive urethral dilatation, once a week, a total of 3 to 4 times. 48 cases were followed up, follow-up rate was 70.6%. Follow-up of the shortest 3 months, up to 10 years. Follow-up results: excellent (urination effortless, urinary thickness and pre-injury similar, without expanding the urethra) 38 cases. Good (urination without difficulty, but the urinary thickness did not return to pre-injury level, even need to expand the urethra) in 7 cases. Poor (dysuria, urine