摘要
目的:探讨经尿道双极等离子电切术治疗尿道狭窄与闭锁的临床疗效。方法:对81例尿道狭窄和17例尿道闭锁患者采用经尿道双极等离子电切术治疗,并对其术前、术后尿流率变化及手术并发症进行观察随访。结果:98例患者手术均顺利完成,平均手术时间为(40.0±20)min,采用比色法计算平均失血量为(15.5±10.2)ml。对98例患者平均随访2年,70例1次手术成功,9例复发行2次手术治疗,19例定期行尿道扩张治疗,术后2年平均最大尿流率Qmax(20.0±8.8)ml/s。结论:经尿道双极等离子电切术治疗尿道狭窄与闭锁,具有安全、微创、疗效确切、并发症少等优点,可作为治疗尿道狭窄与闭锁的首选手术方法之一。
Objective： To investigate the clinical efficacy of the transurethral resection of the bipolar plasma treatment of urethrostenosis and urethratresia. Methods： 81 cases of urethrostenosis and 17 urethratresia patients were chosen and treated by transurethral resection of the bipolar plasma, the changes of the urinary flow rate before and after the operation and the complication of the patients were assessed. Results： The endourethral surgeries for the patients were of great success with the mean operative time was （40.0±20） min, the mean loss of blood volume was （15. 5± 10. 2） ml. In all 98 patients with mean two-year follow-up, 70 patients were cured by a single operation, 9 patients needed a second endourethral surgery for recurrent stricture after the first surgery, and 19 patients needed regular urethral dilatation treatment. The mean maximun flow rate of urinary was （20. 0±8.8）ml/s after two-year surgery. Conclusions： Transurethral transurethral plasmakinetic resectic has the advantages of safety, minimal invasion, effectiveness and fewer complications, and it is considered to be the first choice in treating patients with urethrostenosis and urethratresia.
出处
《华夏医学》
CAS
2010年第1期22-24,共3页
Acta Medicinae Sinica
基金
广西医疗卫生重点科研课题(重200529)
关键词
尿道狭窄
尿道闭锁
双极等离子电切术
urethrostenosis
urethratresia
bipolar plasmakinetic resectic
