直视下尿道内切开术联合尿道扩张治疗男性尿道狭窄36例疗效分析

Analysis on efficacy of direct vision internal urethrotomy with cold knife followed by urethral dilation to treat urethral stricture in thirty-six male patients

目的:探讨直视下尿道冷刀内切开术联合尿道扩张治疗尿道狭窄的疗效。方法:36例尿道狭窄患者,均接受直视下尿道内切开术联合留置尿管治疗,现对其临床资料进行回顾性分析。结果:36例中,32例一次手术成功,4例行二次手术成功。36例患者中34例获随访6～24个月,平均15个月,5例排尿通畅,27例行尿道扩张后排尿通畅,2例术后3～4个月再次因尿道狭窄行开放手术。结论:直视下尿道内冷刀切开术联合尿道扩张治疗尿道狭窄疗效是肯定的,但远期疗效尚待长期观察。

Objective：To evaluate the transurethral endoscopic incision with cold knife in the treatment of ure thral stricture. Method： Thirty-six male patients with urethral stricture underwent internal urethrotomy using inter nal cold knife. The clinical data were analyzed retrospectively. Result： Direct vision internal urethrotomy has been successful in 36 patients, of whom 32 with single procedure, twice with successful outcomes in 4. All patients were followed for 6-24 months （mean 15 months） except for two cases lost, 5 patients were voiding satisfactorily, 27 patients were treated with urethral＇dilatation, reconstruction with open surgery （3 and 4 months after first treatment） were mandated as stricture recurred in 2 of 34 patients. Conclusion：The efficacy of direct vision internal urethrotomy with cold knife followed by urethral dilation to treat urethral stricturethe is favourable, long-term successful rate of this technique remains to be evaluated.