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目的探讨尿道下裂术后尿道狭窄的诊断及治疗。方法回顾性分析尿道下裂术后尿道狭窄33例临床资料。结果7例尿道造瘘患儿中有2例得到随访并行二期尿道成形治愈;在15例尿道狭窄扩张置金属支架的患儿中,10例一次手术治愈,5例经多次手术治愈;11例尿道狭窄段切除、置金属记忆合金支架及尿道成型的患儿均一次手术治愈。结论对重度尿道狭窄及局部炎症重者应选择狭窄段切开造瘘,分期行尿道成型术;对尿道狭窄段扩张顺利者,置金属支架;对尿道狭窄段扩张困难者,可选择狭窄段切除、置金属记忆合金支架尿道成型。
Objective To investigate the diagnosis and treatment of urethral stricture after hypospadias operation. Methods Retrospective analysis of 33 cases of urethral stricture after hypospadias surgery. Results Of the 7 cases of urethroplasty patients, 2 cases were cured by follow-up and second phase urethroplasty. Of the 15 cases with urethral stricture expanding metal stent, 10 cases were cured by one operation and 5 cases were cured by multiple operations. Cases of urethral stricture resection, metal memory alloy stent and urethroplasty in children with a surgical cure. Conclusion Severe urethral stricture and local inflammation should be selected stenosis section incision fistula, urethroplasty stage; right urethral stricture expansion, placement of metal stents; urethral stricture expansion difficulties, the choice of stenotic segment resection , Metal memory alloy stent urethra molding.