输尿管镜联合等离子电切治疗男性创伤性尿道狭窄

Application of Ureteroscopy and Plasma Electrosection in Treatment of Post Traumatic Urethral Strictures in Male Patients

目的:探讨输尿管镜联合等离子切割技术治疗男性创伤性尿道狭窄的临床疗效。方法:联合应用输尿管镜内切开技术及经尿道瘢痕等离子切割治疗男性创伤性尿道狭窄11例,其中前尿道狭窄7例,后尿道狭窄4例,并对临床资料进行回顾性分析。结果:11例腔内手术1次成功,术后排尿通畅,无尿失禁、尿瘘;其中3例于术后2～5个月时发生不同程度的尿流变细,经尿道扩张后尿流恢复至术后状态。结论:输尿管镜联合等离子切割技术治疗男性创伤性尿道狭窄疗效满意,安全性好,远期疗效稳定。

Objective： To evaluate the effect of post traumatic urethral strictures in male patients treatment under ureteroscope and plasma electrosection. Methods：ll male patients with post-traumatic urethrostenosis were treated with ureteroscopic incision and transurethral plasma electrosection resection of scar tissue. The therapeutic effect was evaluated. There were 7 patients with anterior urethral strictures and 4with posterior urethral strictures.Results： All patients underwent successful endoscopic surgeries at the first time, and with almost no bleeding. Then indwelling catheter for 4 weeks. After the removal of the urinary catheter, Ii patients were Voided well, and no complications such as urinary incontinence： With in 2--5 months 3 cases were urine thinning, avoiding difficulty, given regular urethral dilation. Conclusion： With the advantages of safety, high success rate and good long-term efficiency, ureteroseopic incision and transurethral plasma electroseetion resection could be used as an initial treatment for male pat ient s with post traumat i c uretbrost enos i s.