Tkachuk V N, al-Shukri S Kh, Komiakov B K
Vestn Khir Im I I Grek. 1992 Sep-Oct;149(9-10):247-54.
Under analysis were results of operative treatment of 291 patients aged from 7 to 76 years with traumas and strictures of the urethra at the period from 1970 to 1990. Totally 325 operations have been performed. The primary suture of the urethra was successfully used in 8 of 36 patients with trauma of the urethra. Tunneling of the urethra for its strictures which was widely used in the clinic up to 1980 gave 46.2% of recurrences during the first 3 months after operation. It required the surgical methods to be changed. During the recent 11 years 161 operative interventions have been performed: 103 (64.0%) resections of the urethra, 45 (28.0%) internal optical urethrotomies and transurethral resections (TUR) of scarry tissues, 7 (4.3%) epidermoplasties of the urethra and 6 (3.7%) tunnelings of the urethra. The amount of recurrences dropped up to 13.7%. The primary suture of the urethra is necessary for penetrating ruptures of the urethra if the patient's state allowed. Resection of the urethra must be the operation of choice in patients with strictures and obliteration of the urethra. The endoscopic methods of treatment (urethrotomy and TUR) are indicated for short strictures and scarry deformity of the posterior urethra after operations on the prostate. The epidermoplasty is expedient for lengthy strictures.
分析了1970年至1990年间291例年龄在7岁至76岁之间患有尿道创伤和狭窄患者的手术治疗结果。共进行了325次手术。36例尿道创伤患者中有8例成功进行了尿道一期缝合。直到1980年临床上广泛使用的尿道狭窄尿道隧道术在术后前3个月复发率为46.2%。这就需要改变手术方法。在最近11年里进行了161次手术干预：103例（64.0%）尿道切除术，45例（28.0%）内镜下尿道内切开术和经尿道瘢痕组织切除术（TUR），7例（4.3%）尿道表皮成形术，6例（3.7%）尿道隧道术。复发率降至13.7%。如果患者情况允许，尿道一期缝合对于尿道穿透性破裂是必要的。尿道切除术必须是尿道狭窄和闭锁患者的首选手术。内镜治疗方法（尿道内切开术和TUR）适用于前列腺手术后后尿道的短段狭窄和瘢痕畸形。表皮成形术适用于长段狭窄。
