前言目的 评价经耻骨会阴联合途径治疗男童复杂性后
尿道狭窄或闭锁的临床疗效。方法15例复杂性后尿道狭窄或闭锁的男童均行经耻骨会阴联合途径后尿道端端吻合术,其中3例合并尿道直
肠瘘。结果15例均一次手术成功,术后均能自主排尿,排尿通畅。10例术后最大尿流率（MFR）平均12。5ml/s,3例术后有
尿失禁现象,其中2例6个月后尿失禁现象明显改善。11例随访6～36个月,排尿仍通畅,无需尿扩,步态平稳。结论 该术式适于尿道狭窄段较长或伴有尿道直肠瘘、假道等复杂性后尿道狭窄,尤其是以往经会阴途径后尿道修复手术失败者
ObjectiveToevaluateoperativeresultsofpuboperinealapproachinboyswithcomplicatedposteriorurethralstrictureoratresia.MethodsFifteenboysofposttraumaticposteriorurethralstrictureoratresiaweretreatedwithurethralanastomosisviathepuboperinealapproach.Threepatientswereassociatedwithurethrarectalfistula.ResultsGoodoperativeresultswereachievedinall15children.ThevoidingwasgoodwithaverageQmaxbeing12.5?ml/sin10childrenandnourethraldilatat...
