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目的探讨复杂性后尿道手术中使用一种新的引流支架的方法。方法对55例复杂性后尿道病人行手术治疗,其中复杂性后尿道直肠瘘15例,复杂性后尿道狭窄及闭锁35 例,膀胱外翻5例。术后均采用自制U形多孔引流支架管引流。结果随访1~10年,术后病人排尿正常,无尿道狭窄等并发症。结论U形多孔引流支架管具有支架和引流双重作用,值得在复杂性后尿道手术中临床推广应用。
Objective To explore a new method of drainage stent in complex posterior urethral surgery. Methods Surgical treatment was performed on 55 patients with complex posterior urethral disease, including 15 complicated posterior urethral fistulas, 35 complicated posterior urethral strictures and atresia, and 5 cases of bladder eversion. All patients underwent drainage with a homemade U-shaped porous drainage stent. Results The patients were followed up for 1 to 10 years. The postoperative patients had normal urination and no complications such as urethral stricture. Conclusion U-shaped porous drainage stent has the dual role of stent and drainage, which is worthy of clinical application in complex posterior urethral surgery.