192 例男性创伤性尿道狭窄的腔内治疗

Endoscopic reconstruction of 192 patients with traumatic urethral stenosis

作者采用腔内手术治疗创伤性尿道狭窄，观察其疗效。方法：本组１９２例创伤性尿道狭窄，其中前尿道狭窄４７例，后尿道狭窄１４５例。采用窥视下液电效应、冷切、微波、电切等方法治疗。对长段后尿道闭锁，采用经膀胱后尿道置入探条及肛指引导，液电效应或微波闭锁瘢痕中央打孔会师。结果：９４例一次手术即获得成功，３４例术后行尿道扩张术３～６次，５０例再次行腔内手术１～３次，随访３～６０个月（平均２９．３月），有效率达９７．４％。作者认为腔内手术治疗创伤性尿道狭窄创伤小、并发症少，成功率较高，效果良好。

We treated traumatic urethral stenosis with endoscopic technique and observed effects.192 men with traumatic urethral stenosis (47 with anterior urethral stenosis and 145 with posterior urethral stenosis) were treated with hydroelectric shock wave,cold knife, microwave and electroincission through transurethral endoscopy. We punched hole in the centre of the scar with hydroelectric shock waves for long segment urethral complete occlution.43 patients were treated with obliteration and 50 with endoscopic operation again for 1～3 times. With a mean of 29. 3 months( range 3～60 months)of followup,187 patients were treated successfully.Endoscopic operation has good effects on traumatic urethral stenosis with smaller trauma, and few complications.