腔内双极等离子体治疗尿道狭窄27例临床分析

Clinical analysis of transurethral plasmakinetic vaporization for urethral stricture: 27 cases reports

目的分析腔内双极等离子体治疗尿道狭窄疗效,提高该病的诊疗水平。方法 2004年1月至2008年12月,我院采用腔内双极等离子体治疗尿道狭窄患者27例,均在导丝引导、直视下进行狭窄段瘢痕切除,切除长度0.5-2cm,术后留置尿管2-6周,拔出尿管后定期尿道扩张。结果所有病例均一次性手术治愈,无尿道穿孔、假道形成、直肠损伤等并发症,随访6-52个月,均未再出现排尿障碍。结论腔内双极等离子体手术是治疗尿道狭窄的有效方法。

Objective To evaluate the therapeutic effects of transurethral plasmakinetic vaporization when treating urethral stricture. Methods Between Jan 2004 and Dec 2008, 27 patients with urethral stricture underwent transurethral plasmakinetic vaporization, all of the procedures were guided by the guide wire and under direct vision. The length of the urethral scars ranged from 0.5 to 2 cm. All of the operations were performed successfully. Catheters were placed for 2 to 6 weeks postoperation according to the stricture length. Urethral dilation was performed in every patients after catheter removal. Results All urethral stric- tures were cured by the operations, with no occurence of any complications such as urethral perforation, false passage and rectal injury. During 6 to 52 months of follow-up, the symptoms of voiding dysfunction did not recurred. Conclusions Endoscopic operation using transurethral plasmakinetic vaporization is an effective treatment of urethral stricture.