尿道闭锁

目的：探讨复杂性尿道狭窄和尿道闭锁经尿道腔内治疗效果。

Objective : To evaluate the endourethral surgery for the complicated urethrostenosis and urethratresia .

改良会阴切口治疗男童后尿道闭锁

A modified transperineal approach to treat posterior urethral atresia in boys

1例外伤后尿道闭锁行结肠代膀胱术病人的护理

Nursing care of a case with trauma induced ankylurethria underwent colon substituted for bladder surgery

后尿道闭锁及尿道直肠瘘的开放性手术治疗（附23例报告）

The treatment of atresic back - urethra and urinary rectal fistula ( Reports of 23 cases )

结论：后尿道闭锁、尿道直肠瘘的治疗仍以开放性手术治疗为佳。

Conclusions : Open operation is the better way to treat atresic back-urethra and urinary rectal fistula .

目的报告改良会阴切口途径治疗男童后尿道闭锁的手术疗效。

Objective To evaluate the treatment of traumatic posterior urethral atresia in boys via a modified transperineal approach .

方法回顾性分析32例采用耻骨下部分入路阴囊中隔肉膜蒂皮瓣移植治疗复杂性后尿道闭锁临床资料。

Methods 32 patients with complex posterior urethral obliteration were treated with dartos island skin flap substitution urethroplasty .

故并提出，本法可作为尿道闭锁的首选诊断方法以及评价手术效果及术后随访手段。

It offers an excellent method that is better than urethrography for diagnosis of urethral atresia and urethral stricture .

结论阴囊中隔肉膜蒂皮瓣是较理想的复杂性后尿道闭锁修复材料。

Conclusions Dartos island skin flap urethroplasty is a highly effective 1-stage method of reconstructing complex posterior urethral obliteration .

对长段后尿道闭锁，采用经膀胱后尿道置入探条及肛指引导，液电效应或微波闭锁瘢痕中央打孔会师。

We punched hole in the centre of the scar with hydroelectric shock waves for long segment urethral complete occlution .

尿道闭锁原因：骨盆骨折合并后尿道断裂16例，球部尿道骑跨伤2例。

The urethral obliteration was due to pelvic fracture with posterior urethral breaking in16 cases , and straddle injury of bulbour ethral in2 cases .

自1984至1994年3月，我们采用改进的内窥镜技术治疗27例男性严重后尿道闭锁，其中26例获得满意效果（成功率96.3%）。

Twenty seven such cases were thus managed from 1984 to March 1994 with an improved endoscopic technique with a success rate of 96.3 % ( 26 / 27 ) .

方法：采用经会阴途径并利用该切口楔形切除耻骨下缘治疗5例男童外伤性复杂性后尿道闭锁。

Methods : From 1995 to 1999 , we adopted transperineal approach , with simultaneously excision of the inferior wedge of pubis , to treat 5 boys with traumatic posterior urethral obliteration .

方法：对23例后尿道闭锁、尿道直肠瘘患者，采用后尿道吻合或套入术、背侧切开肛门括约肌及直肠下段后壁修补尿道直肠瘘术治疗。

Methods : To use back-urinary anastomoses or invagination , cut the anal sphincter and the inferior part of rectal back-wall in order to mend urinary rectal fistula and to remedy atresic back-urethra and urinary rectal fistula .

结果：MRI能清晰地显示伤后盆腔内解剖结构改变，前列腺的位置及其与耻骨联合的关系，准确测量尿道狭窄或闭锁的长度，显示疤痕的范围及深度。

Results : Pelvic MRI can clearly show the pelvic anatomic structures after crush injury and the position of prostate , the relationship with symphysis pubis , while MRI can correctly reveal the length of the urethral stricture and displace of prostatic apex .

方法：对32例后尿道狭窄和闭锁患者采用膀胱截石位，于3、9、12点处作放射状钬激光（1.5J，10Hz）内切开治疗，并修整尿道内面，使管腔光滑。

Methods : With Holmium : YAG ( 1.5 J , 10 Hz ) direct incision the stricture at 3 or 9 and 12 o'clock sites , 32 men with posterior-urethral stricture and atresia were treated through transurethral endoscopy .

尿道狭窄及闭锁的腔内手术治疗体会（附62例报告）

Endourethral surgery for urethrostenosis and urethratresia ( report of 62 cases )

内镜微创治疗尿道狭窄或闭锁46例

Endoscopic Treatment of 46 Cases With Urethral Stricture and Atreturethria

尿道狭窄与闭锁长度平均2.2cm。

The average length of the stricture or atresia was 2.2 cm .

应用多种腔内技术治疗长段尿道狭窄/闭锁

Treatment of long urethral stricture and atreturethria with application of various endoscopic technology

钬激光治疗尿道狭窄及闭锁疗效观察（附26例报告）

Holmium laser urethrotomy for urethral stricture and occlusion ( report of 26 cases )

软性膀胱镜联合双极等离子电切治疗复杂性后尿道狭窄及闭锁

Management of complex posterior urethral stricture using bipolar plasma-kinetic technique combined with flexible cystoscopy

腔内手术治疗后尿道狭窄与闭锁（附46例报告）

Endourethral surgery for posterior urethral stricture or atresia ( report of 46 cases )

尿道狭窄或闭锁的腔内治疗（附28例报告）

Transurethral operation in treatment of urethral stricture or occlusion ( report of 28 cases )

内镜下钬激光治疗尿道狭窄或闭锁合并下尿路结石

Holmium Laser Under Endoscopy for Urethral Stricture or Occlusion Accompanied with Lower Urinary Tract Stones

腔内钬激光联合等离子电切术治疗尿道狭窄与闭锁疗效观察

Clinical observation of urethral stricture or atresia treated with transurethral thulium laser incision conbined plasma electrocision

尿道狭窄或闭锁；

Urethral stricture or urethral atresia ;

60例尿道狭窄或闭锁的外科治疗

Surgical treatment of urethral stricture and occlusion of 60 cases Endourethral surgery for 82 cases of traumatic urethrostenosis and urethratresia

腔内手术治疗尿道狭窄及闭锁10年回顾（附203例报告）

A review of internal urethrotomy for the treatment of urethral stricture in the past 10 years ( report of 203 cases )

结论骨盆骨折所致的损伤性后尿道狭窄及闭锁，是行尿道套入术的良好指征。

Conclusion The constriction and imperforation of posterior urethra caused by fracture of pelvis are good indications for the operation of urethra pull-through .