摘要
目的:探讨直视下经尿道内切开术治疗尿道狭窄的疗效。方法:对直视下经尿道内切开配合电切术治疗尿道狭窄34例临床资料进行分析,其中单纯内切开12例,配合电切术22例。结果:本组一次手术成功31例,占91.2%,二次手术成功2例,失败1例,术后带管2-4周,平均21d,随访3-42个月。91.2%尿线粗、排尿畅,其中3例需定期尿道扩张,2例再狭窄二次手术,无尿失禁、阳瘘发生。结论:直视下尿道内切开配合电切术操作简单,创伤小,出血少,疗效确切,并发症少,是一种治疗尿道狭窄的理想方法。
Objective.. To evaluate the efficacy of direct vision internal urethrotomy coordinating with electronic incision as the treatment for urethral stricture. Methods： 34 cases with direct vision internal urethrotomy were analysed, simple incision 12 cases , coordinating with electronic incision 22 cases. Results ; Direct vision procedure urethrotomy was successful in 32 cases , of whom 31 cases underwent single procedure （91.2 %）, 2 underwent a sencond procedure. The carrying tube time is 2- 4 weeks （21 days）. The follow up time is 3-42 months. 91.2 percent of cases showed thick and fluent urine line , 3 cases needed periodical urethrotomy expansion , 2 recurrence urethral stricture cases accepted second procedure. All cases showed no incontinence and impotence. Conclusion ： Direct vision internal urethrotomy coordinating with electronic incision is a safe and efficient therapy with miniinvasiveness and less complications for urethral stricture and urethratresia . It should be considered as a first choice of treatment for patients with urethral stricture and urethratresia.
出处
《陕西医学杂志》
CAS
北大核心
2005年第9期1118-1120,共3页
Shaanxi Medical Journal
