摘要
目的:探讨腔镜技术在男性尿道狭窄治疗中的临床应用。方法:回顾性分析2003年1月-2008年6月43例男性尿道狭窄经尿道冷切、电切或筋膜扩张器扩张手术的临床资料。结果:43例尿道狭窄腔镜处理病例中,手术成功41例(95.3%),其中1次手术37例,2次或2次以上手术4例;手术失败2例(4.7%),其中1例改开放手术治疗,1例行耻骨上膀胱穿刺造瘘。40例患者随访3-48个月,排尿通畅。结论:腔内治疗尿道狭窄是一条简单、安全、有效的途径。
Objective： To investigate the value of clinical application of endoscopic surgery in male urethral stricture.Methods： The clinical data of 43 cases of male urethral stricture undergone endoscopic operations of internal urethrotomy,trans-urethral resection of scar,or aponeurosis dilator were analyzed retrospectively.Results： Among the 43 cases who received endoscopic surgery,41 cases succeeded（95.3%）,37 cases underwent the operation only once,and 4 cases underwent twice or more.Two cases failed（4.7%）,of which one was treated by open operation because of the long urethrostenosis and was unable to post the guiding silk,and the other was treated by paracentesising bladder above pubis.Forty cases had been followed up for 3-48 months with satisfactory voiding.Conclusion： Endoscopic surgery is a simple,safe,and effective way in male urethral stricture.The surgical indications must be taken into consideration.
出处
《武汉大学学报（医学版）》
CAS
北大核心
2009年第5期691-693,共3页
Medical Journal of Wuhan University
关键词
腔镜技术
尿道狭窄
筋膜扩张器
Endoscopy
Urethral Stricture
Aponeurosis Dilator
