摘要
目的探讨尿道狭窄和闭锁的治疗方法。方法223例尿道狭窄患者分别采用腔镜下钬激光、电刀、冷刀内切开术及开放手术切除瘢痕加尿道吻合术或移植物替代。部分患者采用两种以上手术方法。所有患者坚持尿道扩张1年以上。结果各种方法在治疗效果上并无显著差异,但腔镜下钬激光尿道内切开及瘢痕切除术在控制出血及操作便捷性方面具有明显优势。结论尿道内切开术特别是钬激光尿道内切开术是单纯性尿道狭窄的首选治疗方法。开放手术在复杂性尿道狭窄的治疗上有明显优势,而且是解决尿道狭窄的最终方法。
Objective To evaluate the therapeutic effect of urethrostenosis and urethratresia. Methods 223 cases of urethral stricture were studied retrospectively, All of them were undergone cutting the stricture with Holminum laser electrocautery or knife through a telescope or surgical removal of the stricture with reconnection and reconstruction with grafts and dilatation. They were followed for at least one year. Some of the patient had two or more operations. Results There was no statistical difference in outcome between different treatment but the process of operation. The urethrotomy with holminum laser was the best in controlling bleeding and convenience of operation. Conclusions Urethrotomy should be considered as the first choice for simplex urethrostenosis especially with holmium laser. Open surgical operation is the final treatment and is better for complex urethral stricture.
出处
《北京医学》
CAS
2005年第7期391-394,共4页
Beijing Medical Journal
