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目的:探讨快速冷冻切片在后尿道端端吻合术中的应用价值。方法:对102例临床确诊为后尿道闭锁的患者随机分成两组进行后尿道端端吻合术。A组46例,将瘢痕组织切除,依据术者经验判断为尿道黏膜组织后行后尿道端端吻合术;B组56例,吻合前用快速冷冻切片证实为尿道黏膜后行后尿道端端吻合术。两组患者均于术后3周拔除导尿管,并比较两组患者的术后疗效。结果:A组患者的手术成功率为74%(34/46),B组患者的手术成功率为93%(52/56)。结论:快速冷冻切片可避免因术者经验所致的手术缺陷,科学准确的指导操作,提高手术成功率。
Objective: To investigate the value of rapid frozen section in end urethral anastomosis. Methods: A total of 102 patients with clinically diagnosed posterior urethral atresia were randomly divided into two groups for posterior urethral anastomosis. A group of 46 cases, the scar tissue resection, based on the experience of the surgeon was judged urethral mucosa posterior urethral anastomosis; B group 56 cases, before anastomosis with fast frozen section confirmed urethral mucosa posterior urethral anastomosis Surgery. Two groups of patients were removed after 3 weeks of catheterization, and compared the efficacy of the two groups of patients. Results: The success rate of operation in group A was 74% (34/46), and that in group B was 93% (52/56). Conclusion: Fast frozen section can avoid surgical defects caused by the surgeon ’s experience, guide the operation accurately and improve the success rate of operation.