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后尿道闭锁及尿道直肠瘘的开放性手术治疗(附23例报告)

The treatment of atresic back-urethra and urinary rectal fistula (Reports of 23 cases)

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【作者】 廖济林黄启彬叶健流谢镇光邝世航李小华

【Author】 LIAO Jilin 1 HUANG Qibin 2 YE Jianliu 2 XIE Zhenguang 2 KUANG Shihang 1 LI XiaoHua 1 ( 1Department of Urology, Long Gang Central Hospital,ShenZhen,518116 ,China; 2Department of Surgery, People’s Hospital, Zijin County, Guangdong Province)

【机构】 深圳龙岗中心医院泌尿外科广东省紫金县人民医院外科深圳龙岗中心医院泌尿外科 广东深圳518116广东深圳518116

【摘要】 目的 :探讨后尿道闭锁、尿道直肠瘘开放性手术治疗的方法。方法 :对 2 3例后尿道闭锁、尿道直肠瘘患者 ,采用后尿道吻合或套入术、背侧切开肛门括约肌及直肠下段后壁修补尿道直肠瘘术治疗。结果 :2 3例行开放性手术均一次成功。随访 0 .5~ 3年 ,大小便功能正常的 2 1例 ,占 91.3% ;尿流变小 2例 ,行尿道扩张术治疗后排尿良好 ,占 8.7%。结论 :后尿道闭锁、尿道直肠瘘的治疗仍以开放性手术治疗为佳。

【Abstract】 Objective: To study the open surgical method for atresic back-urethra and urinary rectal fistula. Methods:To use back-urinary anastomoses or invagination, cut the anal sphincter and the inferior part of rectal back-wall in order to mend urinary rectal fistula and to remedy atresic back-urethra and urinary rectal fistula. Results: Twenty three cases of open surgical operation succeeded. 21 cases( 91.3%) were normally relieved the bowels after being followed-up for 0.5 to 3 years, 2 cases( 8.7%) were lessened urine and micturated well after being treated with urinary dilatation. Conclusions:Open operation is the better way to treat atresic back-urethra and urinary rectal fistula.

  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinical Urology , 编辑部邮箱 ,2004年05期
  • 【分类号】R699
  • 【下载频次】58
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