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1984年初—1986年底,我科采用:“尿道后拖修复术”共治疗后尿道断裂伤7例,后尿道狭窄4例,治疗效果良好,介绍讨论如下:手术方法1、取截石位,经耻骨上切开膀胱和会阴部切口。后尿道断裂伤可清除血肿、彻底止血,将远端尿道断端游离2～4厘米,稍加修剪整齐。对后尿道狭窄先用尿道探子引导达后尿道狭窄远端,切断并游离2～4厘米,然后彻底切除狭窄段疤痕组织。注意勿损伤直肠前壁,若损伤及时修补。2、经尿道外口置入 F16～18号气囊导尿管,自断端拉出,紧贴气囊下方用“O”号肠线环绕缝穿二圈,缝穿时不要损伤气囊充气导管。再用3“O”肠线把远端尿道断端外翻褥式缝扎于“O”号肠线圈上。褥式缝合可使尿道粘膜外翻有利愈合。3、用7号丝线贯穿气囊导尿管尖端,经尿
In early 1984 - the end of 1986 - 1986, our department adopted: “Post urethral drag repair surgery” after treatment of urethral rupture in 7 cases, 4 cases of posterior urethral stricture, the treatment effect is good, the introduction discussed as follows: Surgical methods 1, take lithotomy position, The suprapubic incision of the bladder and perineal incision. Posterior urethral rupture can remove hematoma, complete hemostasis, the distal urethral stump free 2 to 4 cm, a little manicured. The first urethral urethral stricture urethral probe to guide the distal urethral stricture, cut off and free 2 to 4 cm, and then completely remove the narrow segment of the scar tissue. Be careful not to damage the anterior rectal wall, repair if damaged. 2, the transurethral orifice into the F16 ~ 18 balloon catheter, pulled out from the broken end, close to the bottom of the balloon with “O” gut around the sewing through the two laps, do not wear when the inflatable balloon inflatable catheter. Then 3 “O” gut to the distal urethra stump overturned mattress suture in the “O” intestinal coil. Mattress suture urethral mucosal valgus favorable healing. 3, with 7 silk thread through the balloon catheter tip, the urine