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自1977年12月～1989年12月,我院共收治外伤性尿道狭窄95例,其中15例(1.57％)为难治性尿道狭窄,采用耻骨块切除途径修复尿道,取得预期效果。现报道如下。 (一)临床资料本组15例均为男性,年龄16～60岁,平均35.73岁。病史5个月～17年,平均2.83年。住院38～117天,平均69.26天。均为外伤性尿道狭窄,并有耻骨骨折。入院前均有尿道修补手术史。入院时排尿困难2例,有膀胱造瘘管12例,合并尿道直肠瘘1例。经手术证实尿道缺损3.5～5.5cm,平均4.23cm。
From December 1977 to December 1989, 95 cases of traumatic urethral stricture were treated in our hospital. Among them, 15 cases (1.57%) were refractory urethral stenosis, and the expecting effect was achieved by using the pubic block excision to repair the urethra. Report as follows now. (A) Clinical data The group of 15 patients were male, aged 16 to 60 years, mean 35.73 years. History of 5 months to 17 years, an average of 2.83 years. Hospitalization 38 to 117 days, an average of 69.26 days. Traumatic urethral stricture, and a pubic fracture. Before admission, urethral repair surgery history. 2 cases of dysuria on admission, 12 cases of bladder fistula, 1 case of merger of urethral rectal fistula. Surgical confirmation of urethral defect 3.5 ~ 5.5cm, an average of 4.23cm.