输尿管镜联合筋膜扩张器治疗成年男性尿道单纯性狭窄17例

The treatment of 17 adult males with urethral simple stenosis with ureteroscopy combined with fascia expander

目的:观察输尿管镜联合筋膜扩张器治疗成年男性尿道单纯性狭窄的效果。方法:经常规金属尿道探子扩张失败的17例成年男性尿道单纯性狭窄患者,给予输尿管镜下联合筋膜扩张器治疗。结果:17例均扩张成功,手术时间15～45 min;拔除尿管后排尿症状较治疗前明显改善,术后均未出现严重并发症,可自尿道正常排尿,尿线正常或接近正常,术后随访3～24个月,经术后定期行金属扩张器扩张后均达到治愈标准。最大尿流率>15 ml/s,B超检查膀胱无残余尿。结论:输尿管镜联合筋膜扩张器治疗成年男性尿道单纯性狭窄安全有效,操作简便,可重复应用,值得临床推广。

Objective： To explore the effects of the treatment of adult male with urethral simple stenosis with ureteroscopy combined with fascia expander.Methods： Seventeen expansion failure patients with urethral simple stenosis through the conventional metal urethral probe were treated with ureteroscopy combined with fascia expander.Results： Seventeen cases were successfully expanded,the operation time was 15 to 45 minutes.The urination symptoms of all cases were significantly improved after catheter removal.No serious complications were found.Patients were able to urinate normally,which urine lines were normal or close to normal.All cases were followed-up from 3 to 24 months,and met the criteria of clinical cure by the regular expansion of metal expander.The biggest urine flow rate was more than 15 ml / s,and no residual urine in bladder were observed under B ultrasonic examination.Conclusions： The treatment of adult male with urethral simple stenosis with ureteroscopy combined with fascia expander is safe,effective and simple operation,which can be repeatly used and worthy of being widely applied in clinic.