尿道内切开和尿道扩张治疗尿道狭窄疗效分析

Efficacy of internal urethrotomy and dilation as treatment for male urethral stricture

目的探讨尿道内切开和定期尿道扩张的临床疗效。方法采用Rudolf冷刀和电切镜对23例尿道狭窄患者施行尿道内切开,术后留置导尿管4～6周,必要时行规律定期尿道扩张。结果14例1次手术获得成功,9例首次手术后再次出现尿道狭窄,3例进行第2次尿道内切开手术获得成功,6例未再进行尿道内切开,定期、规律尿道扩张,获得成功。尿道造影检查示,尿道通畅,效果满意。结论尿道内切开结合定期尿道扩张是治疗尿道狭窄的有效微创方法,并发症少,操作简便,恢复快。

[Objective] To study the efficacy of internal urethrotomy and dilation as patient treatment for male urethral stricture disease. [Methods] 23 patients with urethral stricture accepted internal urethrotomy and/or regular dilation were analysed. [Results] 14 patients have stable results after initial internal urethrotomy. Stricture recurred in 9 of 23 patients after the initial operation; 3 of the 9 patients accepted the second internal urethrotomy; 6 of the 9 patients need regular dilation. [Conclusion] Internal urethrotomy and dilation is effective treatment for urethral stricture.