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共收治损伤性尿道断裂、狭窄和闭锁的病例167例,其中急性尿道断裂58例均采用尿道会师,尽可能地将尿道两断端靠拢对合,用气囊导尿管持续牵引固定并行耻骨上膀胱造瘘,治愈率达81.6%(47/58);陈旧性尿道狭窄和闭锁109例,均采用窥视下尿道内切开术(DVIU),治愈率达94.8%(103/109)。术中强调导丝在尿道内、食指在直肠内作指引,使内切镜与尿道在同一长轴上直视下切开,电切环切除瘢痕组织。认为尿道会师导尿管持续牵引和DVIU是治疗急性尿道断裂和陈旧性尿道狭窄、闭锁的有效方法。
A total of 167 cases of traumatic urethral rupture, stenosis and atresia were treated, of which 58 cases of acute urethral rupture were used to meet the urethra, urethra as close as possible to the two ends close together with the balloon catheter continuous traction and parallel suprapubic bladder Fistula, the cure rate was 81.6% (47/58); old urethral stricture and atresia in 109 cases were treated by peep under urethroplasty (DVIU), the cure rate was 94.8% (103/109) . Intraoperative emphasis on the guide wire in the urethra, the index finger in the rectum as a guide, the endoscopic and urethra in the same long axis under direct vision incision, electric excision of scar tissue. It is believed that continuous urethral catheterization traction and DVIU is an effective method for the treatment of acute urethral stricture and old urethral stricture and atresia.