腔内会师技术治疗尿道闭锁11例报告

Intracavitary technology for atresia of urethra (a report of 11 cases)

目的介绍应用腔内技术治疗尿道闭锁的手术方法和技巧,探讨其疗效。方法回顾性分析应用腔内会师技术治疗11例尿道闭锁患者的临床资料。结果10例一次性手术治疗成功,1例尿道闭锁长度为3.8cm的患者,术后1个月行电切镜切除尿道残留瘢痕组织。所有病例术中未出现明显并发症。术后住院时间为3～7d。导尿管停留2～6W。9例获得随访,随访时间3～7个月,其中1例尿道闭锁长度<1cm者,拔除尿管后排尿通畅;其余8例均定期或不定期尿道扩张,其中3～10次4例,11～20次3例,1例尿道扩张27次之后保持排尿通畅。结论腔内会师技术可作为治疗尿道闭锁可供选择的治疗方法之一。

Objective To introduce the intracavitary operation method and skill for the atresia of urethra. Methods The clinical material, operation methods and effect of intracavitary technology for the atresia of urethra of 11 patients were summarized and analyzed retrospectively. Results 10 （90.9%）patients were cured by one surgery process. 1 patients with 3.8cm length of atresia need a second surgery process for the rudimental scar tissue of the urethra 1 month later of the the first process. There were no apparente complications. The hospitalization stay time were 3 days to 7 days.The urehtra catheters were maintained 2 weeks to 6 weeks. 9 （81.8%） patients were followed up for 3 months to 7 months. The one whose length of urethral atresia shorter than lcm did not need dilating the urethra after the catheter was pulled out. The other 8 cases need dilating the urethra regularly or not. Satisfactory voiding has been achieved in 4 cases after dilation the urethra 3 to 10 times, in 3 cases after dilation 11 to 20 times and in 1 after dilation 27 times. Conclusion With correct methods and skills,the intracavitary operative procedure can become safe, satisfied of near time effect and alternative treatment of for urethra atresia.