内窥镜下尿道狭窄成形术

Endoscopic urethroplasty in the treatment of urethra stricture

目的：探讨泌尿道内窥镜手术治疗不同原因尿道狭窄的疗效。方法：应用尿道冷刀内镜下切开，并与电切镜配合治疗３３例尿道狭窄患者。结果：除２例后尿道长段狭窄患者外，其余患者均取得良好效果，避免了开放手术，４例患者曾接受了定期尿道扩张治疗；１例患者术中发生灌注液外渗致阴茎皮肤轻度水肿，余未发生明确并发症。结论：该手术方法创伤小，患者住院时间短，阳痿发生率低，值得采用。

Objectives Thirty-three cases of urethra stricture who had been treated with endoscopic urethroplasty were reported,which consisted of 6 cases of traumatic posterior urethral disruption, 14 cases of anterior urethra disruption, 3 cases of inflammatory lesions of the urethra;4 cases of congenital urethra valve, one verumontanum hyperplasia , 3 cases of vesical neck constricture after prostatectomy and 2 cases of iatrogenic injury. Methods: Endoscopic urethroplasty was performed in the patients. Results:Patients were followed up over 6 months, 27 patients had normal voiding , 4 underwent dilations periodically. One patient had a extravasation of irrigating fluid resulted in subcutaneous edema of the penis.The 2 cases with posterior urethra stricture failed. Conclusions: The advantages of this operation were less injuries, shorter hospitalization, less morbidity of impotency.