腔内手术与开放性手术治疗尿道狭窄的疗效分析

Transurethral urethrotomy and open operation in treatment of urethral stricture

目的:探讨腔内与开放性手术治疗尿道狭窄的疗效。方法:回顾性分析103例外伤性尿道狭窄腔内与开放性手术患者的临床资料。结果:腔内组75例,成功率89.4%,开放组28例,成功率92.7%。结论:腔内手术创伤小,并发症少,一般可作为首选,具体治疗方式应根据狭窄部位、狭窄长度、瘢痕厚度、硬度及全身情况而定。

Objective： To evaluate the clinical outcome of transurethral urethrotomy and open operation for urethral stricture. Methods：The data of 103 patients with urethral stricture undergoing the transurethral urethrotomy and the open operation from 1984 to 2005 were reviewed. Results： Among the 65 patients underweut open internal urethrotomy, 89.4% were cured, and among the 28 patients underwent posterior urethral anastomosis,92.7% were cured. Conclusions： The treatment for urethral stricture depends on location of urethral stricture,length of the urethral stricture, hardness of scar and state of the body. The open internal urethrotomy is believed to＇be the first choice of treatment in many patients.