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自1993年1月~1996年1月采用切除耻骨下部分显露途径修复5例创伤性后尿道闭锁,结果均1次手术成功,经5个月~3年随访,排尿通畅。并对手术方法、耻骨切除范围、长段尿道缺损及并发后尿道直肠瘘的处理、防止尿失禁及手术适应证进行了详细介绍和讨论,认为采用切除耻骨下部分显露途径具有术野显露良好、便于尿道修复时精细技术的操作等优点。
From January 1993 to January 1996, 5 cases of traumatic posterior urethral atresia were repaired by excision and subdural partial exposure. All the results were successful in one operation. After 5 months to 3 years of follow-up, voiding was unobstructed. And the surgical methods, the scope of pubis resection, long urethral defect and the treatment of posterior urethral fistula, to prevent urinary incontinence and surgical indications were introduced and discussed in detail, that the use of resection of the subdural part of the exposed pathways have a good surgical field, Easy to urethral repair of fine technology operation and so on.