前尿道炎性狭窄的综合治疗(附18例报告)

Management of inflammatory anterior urethral stricture with combination therapy(Report of 18 cases)

目的:探讨前尿道炎性狭窄的有效治疗方法.方法:对18例经尿道造影证实的前尿道炎性狭窄患者,狭窄段长度为3～7 cm,首次尿道硬性扩张后,放置F10硅胶导尿管持续软扩张1个月,同时予抗感染治疗;拔除导尿管后连续服用泼尼松共3个月,并定期行规则性尿道扩张.结果:6例患者在治疗初期出现尿道出血或尿道热,余均属正常反应.随访1～4年,18例患者排尿通畅,其中11例已停止扩张,5例每年扩张1次,2例仍需每2周扩张1次.结论:综合治疗具有疗效确切、方法简便、创伤小、费用低等优点,可作为前尿道炎性狭窄的首选治疗方法.

Objective：To investigate the effectivity of combination therapy in the management of inflammatory anterior urethral stricture. Methods： 18 patients with inflammatory anterior urethral stricture were dilated with thetal sounds at the first time and 10F silicone catheter was inserted and kept for 1 month, meanwhile, antimicrobial drugs was administered. Gradual dilatation was performed after the catheter was removed and prednisone was administered for 3 months. Results：There were no severe complications except for bleeding and fever in 6 patients at the beginning. With 1-4 years follow-up, 16 patients voided without any difficult. Conclusions： Combination therapy can be considered as the initial choice of treatment for inflammatory anterior urethral stricture.