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膜性尿道狭窄的手术修复:105例连续病例的经验

The surgical repair of membranous urethral strictures: experience with 105 consecutive cases.

作者信息

Waterhouse K, Laungani G, Patil U

出版信息

J Urol. 1980 Apr;123(4):500-5. doi: 10.1016/s0022-5347(17)55990-x.

Abstract

We reviewed 105 patients with rupture of the membranous urethra in whom impassable strictures developed. With 16 years being the division between children and adults there were 73 adults and 32 children. We prefer to repair these strictures with the mobilized anterior urethra if this can be accomplished satisfactorily, rather, than using skin substitution urethroplasties. The mobilized anterior urethra was used in 90 patients: 63 adults and 27 children. The anterior urethra in the remaining 15 patients had been damaged either by a previous operation or by previous disease and needed skin substitution urethroplasty. Techniques, complications and results in the 3 types of repair are presented.

摘要

我们回顾了105例发生膜部尿道破裂并出现无法通过的狭窄的患者。以16岁作为儿童与成人的划分界限,其中有73名成人和32名儿童。如果能令人满意地完成,我们更倾向于用游离的前尿道修复这些狭窄,而不是采用皮肤替代尿道成形术。90例患者采用了游离的前尿道:63名成人和27名儿童。其余15例患者的前尿道因既往手术或疾病而受损,需要进行皮肤替代尿道成形术。本文介绍了3种修复方式的技术、并发症及结果。

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