Bandhauer K, Pfenninger R
Klinik für Urologie, Kantonsspital St. Gallen.
Urologe A. 1992 Sep;31(5):262-6.
The direct anastomosis in one session is the method of choice for the treatment of urethral strictures (< 2.5 cm length) when at least three internal urethrotomies have failed. If certain important details are kept in mind about the operative technique (wide anastomosis without tension), suitable suture materials used, and the urinary diversion is done without placing a burden on the anastomosis, the long-term results are good. The direct anastomosis and operative approach can be varied according to the special situation in individual cases. The analysis of 47 patients operated on with direct anastomosis for strictures in the posterior urethra (28 post-traumatic, 9 iatrogenic, 10 postinflammatory) revealed that 83% of the patients had good or satisfactory results, while in 8 patients (17%) the results were poor. The poorist long-term results occurred in post-traumatic strictures in the bulbomembranous part of the urethra connected with complicated pelvic fractures.
对于长度小于2.5厘米的尿道狭窄，当至少三次尿道内切开术失败时，一期直接吻合术是首选的治疗方法。如果在手术技术（无张力的广泛吻合）、使用合适的缝合材料以及进行尿流改道时不给吻合口增加负担等方面记住某些重要细节，长期效果会很好。直接吻合术和手术入路可根据个别病例的特殊情况而有所不同。对47例因后尿道狭窄接受直接吻合术的患者（28例创伤后、9例医源性、10例炎症后）进行分析发现，83%的患者效果良好或满意，而8例患者（17%）效果不佳。最差的长期效果出现在与复杂骨盆骨折相关的尿道球膜部创伤后狭窄患者中。
