我院自1970年8月～1987年8月,采用带蒂腹直肌移植治疗复杂性后尿道狭窄13例,经2～10年随访,效果满意,现予介绍。一、手术方法患者取截石位,作下腹正中切口,切断阴茎悬韧带,剥离耻骨骨膜,骨凿楔形切除3～3.5cm耻骨块,切面涂骨蜡止血。切开膀胱,经尿道内口插入一金属探条作引导,于尿道近端狭窄处予以横断,彻底切除疤痕,并游离后尿道。再作会阴部正中切口,游离球部尿道至狭窄处锐性切断,于尿道 Our hospital from August 1970 to August 1987, the use of pedicled rectus abdominis transplantation for the treatment of complex posterior urethral stricture in 13 cases, after 2 to 10 years of follow-up, the results were satisfactory, are introduced. First, the surgical approach Patients take lithotomy position for the lower abdomen incision, cut off the penis suspensory ligament, dissection of the pubic periosteum, osteotome wedge resection 3 ~ 3.5cm pubic block, cutaneous coated bone wax to stop bleeding. Cut the bladder, insert a metal probe through the urethral orifice for guidance, in the proximal urethral stricture to be transected, complete removal of the scar, and the free posterior urethra. Again for the perineal midline incision, free ball urethral stricture at the sharp cut off, in the urethra