摘要
目的探讨尿道狭窄病人尿道扩张失败后的进一步治疗方法。方法17例尿道狭窄患者尿道扩张失败后,在尿道镜直视下插入丝状探子通过狭窄处,撤出尿道镜后丝状探子尾端连接与之配套的金属探子进一步扩张尿道。结果17例直视下扩张成功,其中15例经定期尿道扩张治愈,另2例需行频繁尿道扩张维持排尿改行尿道内切开术。结论尿道镜直视下丝状探子尿道扩张术方法简单,安全有效,常规尿道扩张失败后可首先应用。但长期依赖频繁尿道扩张维持排尿病人应行尿道内切开等治疗。
[Objective] To discuss the progressive treatment of urethral stricture after the failure with regular urethral dilatation. [Methods] 17 urethral stricture patients were undergone direct vision filiform probe dilatation. [Results] Direct vision filiform probe dilatation has been successful in all 17 cases, of whom 15 with period urethral dilatation, the other two who need to dilate urethra frequently to maintain voiding function were proceed internal urethrotomy. [Conclusions] Direct vision filiform probe dilatation is a simple, safe and effective method and the first choice of treatment for urethral stricture after the failure with regular urethral dilatation. Those who depending on frequent urethral dilatation to maintain voiding function need internal urethrotomy.
出处
《中国内镜杂志》
CSCD
北大核心
2005年第11期1142-1143,共2页
China Journal of Endoscopy
关键词
丝状探子
尿道扩张术
尿道狭窄
尿道镜
filiform probe
dilatation
urethral stricture
urethroscope
