摘要
目的 探讨经尿道腔内手术治疗尿道狭窄或闭锁的治疗效果。方法 回顾性总结 86例尿道内切开、经尿道瘢痕电切或激光切除术治疗尿道狭窄或闭锁的经验。结果 86例 1次手术成功率 91.86 %(79/ 86 ) ;2～ 4次手术成功率 4 .6 5 % (4/ 86 ) ;腔内手术失败率 3.4 9% (3/ 86 )。手术失败原因为尿道狭窄段长 ,术后未能坚持定期尿道扩张和术后感染。 6 2例 (72 .0 9% )随访 10～ 96个月 ,均排尿通畅。结论 内窥镜下经尿道手术是治疗尿道狭窄或闭锁的首选方法 ,具有操作简便 ,创伤小 ,安全、有效等优点。术前准确了解尿道狭窄段长度、数目、有无假道 ;术中充分切开瘢痕组织 ;热刀或激光彻底去除瘢痕 ;术后预防感染、正确保留导尿管、定期尿道扩张是保证手术成功的关键。
Objective:To evaluate the endourethral surgeries for urethrostenosis and urethratresia. Methods:The endourethral surgery,such as interal urethrotomy transurethral scar electrosectomy and transurethral laser cicatrectomy, was carried out for 86 cases suffering from urethrostenosis and urethratresia. Some experiences were learned and summed up. Results: The successful rate in this series being achieved with one and twice to four times was 91.86 % (79/86)and 4. 65 % (4/86)respectively.Treating failure for 3 cases was caused by long-segment stricture and post-operation infection. Sixty-two cases had been followed up for 10～96 months.Satisfactory voiding had been achieved in all.Conclusions: Endourethral surgery was believed to be a safe and efficient treatment of choice for urethrostenosis and urethratresia. The success of the treatment depends on understanding thoroughly the stenosed segment of urethra before operation, incising thoroughly the stricture with cold-knife and resecting completely the scar with electric or laser technique during operation,preventing infection and managing appropriately the urethral catheterization after operation.
出处
《中国内镜杂志》
CSCD
2003年第12期23-25,共3页
China Journal of Endoscopy
