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目的 探讨尿道直肠瘘的诊治方法。方法 回顾性总结 1985年 6月～ 2 0 0 0年 6月收治 12倒尿道直肠瘘的诊治结果。结果 12例尿道直肠瘘患者 ,3例为先天性 ,9例为后天性 (其中 6例为外伤性 ,3例为医源性 )。 1例放弃治疗 ,1例医源性损伤者行直接修补 ,2例行经括约肌经直肠的尿道直肠瘘修补术 (YorkMason法 ) ,8例行改良的经会阴的尿道直肠瘘修补术 ,即 5例把部分球海绵体肌、3例行去表皮会阴阴囊隔皮瓣转移间置于修补后的尿道直肠之间 ;1例失败 ,10例治愈 ,治愈率为 90 .91%。结论 诊断上要求采取多种方法进行检查 ,尤其强调尿道造影的重要性 ,以便尿道直肠瘘的定位 ;治疗上采用改良的经会阴尿道直肠瘘修补术 ,效果较为满意。
Objective To investigate the diagnosis and treatment of urethral fistula. Methods The diagnosis and treatment of 12 cases of inverted urethral rectum fistula were retrospectively reviewed from June 1985 to June 2000. Results Of the 12 patients with urethral rectal fistula, 3 were congenital and 9 were acquired (6 were traumatic and 3 were iatrogenic). 1 case was given treatment, 1 case of iatrogenic injury was repaired directly, 2 cases underwent ureteral rectal fistula repair by the sphincter (York Mason method), 8 cases were treated by perineal urethral rectal fistula repair, 5 Cases of part of the ball of sponge muscle, 3 routine to the epidermal perineal scrotal septa flap transfer between the repair of the urethral rectum; 1 case of failure, 10 cases of cure, the cure rate was 90.91%. Conclusion Diagnosis requires a variety of methods to check, with particular emphasis on the importance of urethroplasty in order to locate urethral fistula; treatment of the transurethral resection of the perineal urethral fistula repair, the effect is more satisfactory.