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我院于1987年9月～1988年3月应用交叉缝合法修补6例7个尿道瘘,获得满意效果。6例中2个瘘孔者1例,年龄10～23岁,瘘孔均位于阴茎体部,直径0.4cm4个,0.3cm3个。其中3例曾2～4次应用瘘孔边缘切开分层纵行缝合而修补失败。方法:连续硬膜外麻醉。以尿道直径插入相应的导尿管做支架,沿瘘孔边缘0.3cm取菱形切口,且于上下角各延长0.5cm,切开皮肤、皮下组织,将皮下组织分离后分三层缝合,先用7—0尼龙线横行缝合瘘孔缘皮瓣关闭瘘孔,然后用5—0丝线纵行缝合阴茎皮肤的皮
Our hospital in September 1987 ~ March 1988 application of cross-suture repair 6 cases of 7 urethral fistula to obtain satisfactory results. There were 1 case of 2 fistulas in 6 cases, aged from 10 to 23 years old. The fistula holes were all located on the penis body with a diameter of 0.4cm4 and 0.3cm3. Three of them had two or four times fistula hole edge incision stratified longitudinal suture repair failure. Methods: Continuous epidural anesthesia. Urethral diameter urethral catheter was inserted into the corresponding stent, taken along the fistula hole edge 0.3cm diamond-shaped incision, and in the upper and lower angle of the extension of 0.5cm, cut the skin, subcutaneous tissue, the subcutaneous tissue after the separation of three layers of suture, first with 7-0 nylon line transverse suture fistula periampullary flap closed fistula hole, and then use 5-0 silk longitudinal suture the skin of the penis skin