摘要
目的探讨影响尿扩和尿道内切开治疗外伤性和前列腺术后尿道狭窄疗效的相关因素。方法对尿扩和尿道内切开治疗的43例外伤性尿道狭窄和53例前列腺术后尿道狭窄病人的初次治疗效果进行回顾性分析,用log-rank统计的方法分析其疗效。结果外伤性尿道狭窄病人中,尿扩与尿道内切开之间的治疗效果差异无显著性意义(P>0.05);而前列腺术后尿道狭窄病人中,尿扩与尿道内切开之间的治疗效果差异有显著性(P<0.01)。结论无海绵体纤维化的外伤性尿道狭窄,尿扩治疗效果好;对于外伤性尿道狭窄的病人尿道内切开治疗后复发者应改用尿道成形术;前列腺术后尿道狭窄的病人首选尿道内切开治疗。
Objective To explore the influencing factors of the outcome of treatment of traumatic urethral stricture and post-operative strictures of prostatic urethra. Methods The maiden therapy effects of 43 cases of traumatic urethral stricture and 53 cases of post-operative strictures of prostatic urethra treated with dilation and urethrotomy were reviewed and tested by Log-rank. Results For traumatic urethral stricture, the therapeutic effects of dilation had no significant difference compared with urethrotomy （P〈0.05）. But for post-operative strictures of prostatic urethra the therapeutic effects of dilation had significant difference compared with urethrotomy （P〈0.01）. Conclusion Urethra dilation may offer an effective method for treating traumatic urethral strictures without corpus cavernosum urethrae fibrosis;Urethroplasty is the most reliable of technique for treatment of recurrent traumatic urethral stricture after urethrotomy; Internal urethrotomy is believed to be the treatment of choice for post-operative strictures of prostatic urethra.
出处
《江西医学院学报》
2006年第2期113-114,117,共3页
Acta Academiae Medicinae Jiangxi
