摘要
目的 :探索输尿管镜在尿道狭窄或闭锁的尿道内切开术治疗中的作用。方法 :采用输尿管镜直视下寻找正确引导方向 ,利用其镜体的扩张结合其他内窥镜切割术切开狭窄或闭锁段 ,术后留置导尿管和适当尿道扩张治疗尿道狭窄或闭锁 2 5例。结果 :2 5例均获随访 ,2 0例排尿正常 ,治愈率 80 % ;失败 5例 ,均改为开放手术治愈 ;2例发生尿外渗。结论 :在尿道狭窄或闭锁的尿道内切开治疗中 ,输尿管镜可增加治疗的成功率 ,尤其对小儿病例更是如此。
Purpose:To explore the usefulness of ureteroscopy in the treatment of urethrostenosis or urethratresia.Methods: Ureteroscopy was used in the treatment of 25 cases of patients with urethrostenosis or urethatresia to find out the right leading direction under direct vision. The stenosis site was cut open by dilating with the ureteroscopy body combine with resection. Urethral catheters were remained, and suitable urethral dilation was arranged postoperatively.Results:25 cases have been followed up, 20 cases can micturate normally, the cure rate being 80%. Urinary extravasation occurred in 2 cases.Conclusions:Ureteroscopy can increase the cure rate in the treatment of urethrostenosis or urethratresia, especially for children cases.
出处
《临床泌尿外科杂志》
2000年第12期539-540,共2页
Journal of Clinical Urology
