【摘要】 目的 探讨小儿后尿道狭窄病因学、尿道损伤部位及外科手术处理的特点。方法 对23例小儿后尿道狭窄的损伤原因、损伤部位、术式选择及其并发症的处理进行回顾性总结。 结果 23例患儿,其中8例是由于肛门直肠手术误伤所至后尿道狭窄;所有患儿均行后尿道吻合术,15例痊愈、4例尿道狭窄、2例漏尿、2例尿失禁。结论 外伤是造成小儿后尿道损伤的主要原因,肛门直肠手术误伤是造成婴幼儿后尿道损伤的重要原因;经会阴尿道吻合术是治疗小儿后尿道狭窄的最佳手术方式。更多还原

【Abstract】 Objective To explore the etiology of posterior urethrostenosis, urethra injured position and characteristics of surgical management. Methods The cause morbid, injured position, selective operation procedures and complications management of the urethrostenosis were retrospectively analyzed in the 32 affected children. Results Of 32 children affected of the urethrostenosis, eight cases of the symptom were caused by anorectal operation accidental injuries. All pediatric patients were treated by posterior urethral anastomosis. 15 cases were recover red to normal micturition, four cases urethral stricture occurred, tow cases had urinary leakage from fistula, two urinary incontinence. Conclusions Trauma leads to posterior urethral injuries,which is mainly cause in children, the secondary important cause is anus-rectum operation accidental injury, which can result the posterior urethral injury in infant. Our consider that urethral anastomosis with via perineal route is a best operative manner for the treatment of posterior urethrostenosis in the pediatric patient.更多还原