摘要
目的:探讨经尿道手术治疗尿道狭窄与闭锁的临床效果。方法:对52例尿道狭窄与闭锁患者采用经尿道内切开加电切术手术治疗。患者平均年龄44.68岁,病程1个月-25年,尿道狭窄与闭锁长度平均为1.2 cm。结果:52例中手术成功43例(82.69%%),其中一次手术成功33例,二次手术成功8例,三次手术成功2例,手术失败9例,其中7例改为开放手术,失败原因主要为假道形成或狭窄段太长。术后48例随访2-24个月,平均13 个月。骨盆骨折致后尿道狭窄9例,感染性尿道狭窄5例,前尿道狭窄3例,术后1周-6个月需进行尿道扩张,其余35例(67.31%)排尿通畅。结论:经尿道手术治疗尿道狭窄与闭锁安全、有效,可作为首选治疗方法。术后尿道扩张是防止再狭窄的重要手段。
Objective： To evaluate the effect of internal uretherotomy and endourethral surgery for urethrostenosis and urethratresia. Methods： Fifty-two patients with an average age of 44.68 suffered from urethrostenosis or urethral occlusion for 1 month to 25 years were treated by endourethral surgery, such as internal urethrotomy, transurethral scar resection. The average length of the stricture or urethral atresia was 1.25cm. Some experiences were summed up. Results： Of the 52 cases, the outcome was satisfactory in 43 （82.69%）. Endourethral surgery was carried out once for 33 patients, twice for 8 and tertiary for 3 with successful outcome, 9 patients required open surgery because of urethral angulation caused by pelvic fracture. Forty-eight patients had been followed up for 2-24 months, satisfactory voiding has been achieved. Conclusions. Endourethral surgery is a safe and efficient treatment for urethrostenosis and urethratresia. It should be considered the treatment of first choice for major urethrostenosis and urethral atresia.
出处
《新疆医科大学学报》
CAS
2005年第10期923-924,共2页
Journal of Xinjiang Medical University
关键词
尿道狭窄
内窥镜术
外科治疗
urethral strictures endoscopy
surgical therapy
