摘要
目的探讨外伤性后尿道狭窄患者安全有效的治疗方法。方法选择外伤性尿道狭窄患者10例,其中常规金属尿道探子扩张失败后6例。在尿道表麻下用输尿管镜直视下插入斑马导丝通过尿道狭窄处,撤出输尿管镜,顺留置的斑马导丝逐号置人筋膜扩张器扩张尿道狭窄处,并改用大号尿道金属探子扩张尿道。结果 10例均扩张成功,其中8例经定期尿道扩张获得治愈,2例因术后需频繁尿道扩张而行经尿道内切开术。结论斑马导丝引导筋膜扩张器配合尿道探子行尿扩张术治疗外伤性尿道狭窄方法简单、安全有效,值得临床推广。少数需长期频繁行尿道扩张患者可改行经尿道内切开术等其他治疗方法 。
Objective To explore the safe and effective treatment method for urethral stricture after trauma.Methods There were 10 patients with urethral stricture after trauma,including of 6 cases were not success by metallic urethral sounding.We used ureteroscopes to find the urethral stricture and interpose zebra guidewire.Fascia dilator was inserted urethral stricture along zebra guidewire from Fr8-Fr24.Results 10 patients with urethral stricture were cured,including 8 cases with urethral sounding regularly and 2 cases with internal urethrotomy.Conclusion It is a easy,safe and effective urethral dilatation therapy method for urethral stricture after trauma by fascia dilator along zebra guidewire.
出处
《海南医学》
CAS
2010年第11期18-19,共2页
Hainan Medical Journal
关键词
筋膜扩张器
尿道扩张
尿道狭窄
Fascia dilator
Urethral sounding
Urethral stricture
