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目的:探讨经会阴途径后尿道端端吻合术治疗创伤性后尿道狭窄的临床效果。方法:分析2009年2月—2014年3月我院采用经会阴后尿道端端吻合术治疗创伤性后尿道狭窄29例患者的临床资料。结果:术后随访1年,18例排尿通畅,无需尿道扩张;7例术后尿道扩张(3~5)次;3例术后尿道扩张1年以上;1例出现吻合口漏尿;术后无新增ED患者;无术后尿失禁发生。结论:经会阴后尿道端端吻合术治疗创伤性后尿道狭窄疗效可靠、并发症少。
Objective: To investigate the clinical effect of posterior urethral anastomosis through the perineal approach in the treatment of traumatic posterior urethral stricture. Methods: The clinical data of 29 patients with traumatic posterior urethral stricture treated with perineal posterior urethral anastomosis in our hospital from February 2009 to March 2014 were analyzed. Results: After one year follow-up, 18 patients had smooth urination, no need for urethral dilation, 7 patients had urethral dilatation (3-5), 3 patients had postoperative urethral dilatation more than 1 year, 1 patient had anastomotic leakage, No new ED patients; no postoperative urinary incontinence. Conclusion: Transurethral urethral anastomosis for the treatment of traumatic posterior urethral stricture is reliable and has few complications.