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目的:探讨白膜加盖成形术治疗悬垂部尿道狭窄的临床疗效。方法:采用尿道背侧切开阴茎海绵体白膜加盖成形方法治疗悬垂部尿道狭窄患者12例,术前最大尿流率(5.9±2.7)ml/s,术后随访分别行逆行尿道造影及尿流率检查。结果:12例术后随访平均24(3~38)个月,术后2年排尿通畅10例;再次狭窄2例,1例经尿道扩张后维持正常排尿,1例再次手术,总成功率为92%。结论:白膜加盖成形术是治疗悬垂部尿道狭窄的有效方法。
Objective: To investigate the clinical effect of capsular capsuloplasty in the treatment of overhung urethral stricture. Methods: Twelve cases of urethral stenosis were treated by urethral dorsal incision of cavernous conjunctiva. The maximum preoperative uroflow rate was (5.9 ± 2.7) ml / s. The patients were followed up for retrograde urethral angiography Urine flow rate examination. Results: Twelve patients were followed up for an average of 24 months (3-38 months), with urinary patency 10 cases 2 years after operation. Two cases were again stenosed. One case had normal urination after urethral dilatation and one case had reoperation. The total success rate was 92%. Conclusion: Surgical capsuloplasty is an effective method for the treatment of urethral stricture in the drape.