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直视下尿道内切开术治疗尿道狭窄 被引量:3

TREATMENT FOR MALE URETHRAL STRICTURES BY DIRECT VISION INTERNAL URETHROTOMY
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摘要 目的 :探讨尿道内切开术治疗尿道狭窄的临床疗效。方法 :采用直视下尿道内切开术治疗尿道狭窄 2 8例 ,至少维持 6个月。结果 :1次手术成功 2 0例 ,二次成功 6例。一次成功率 71% ,两次成功率 93%。结论 :尿道内切开术是治疗尿道狭窄的首选方法 ,安全、方便、可重复、并发症少、住院时间短。术中尽量去除瘢痕、保护正常组织 ,术后预防感染。 Objective:To evaluate the efficacy of direct vision internal urethrotomy as treatment of male urethral strictures.Method:28 men with proved urethral strictures were perfomed internal urethrotomy.Follow up was scheduled at least 6 months.Results:The success rate was 71% (20 of 28 patients)after a single urethrotomy.After a second urethrotomy for stricture recurrence the stricture-free rate was 93%(26 of 28 patients).And 2 of 28 ultimately required open urethroplasty and did well.Conclusions:Direct vision internal urethrotomy,which is an useful and safer method,is the optimal option for managemnt of male urehtral strictures.It is very important to excise completely scar tissue and protect normal tissue in the operation and avoid infection and new injury of the urethral after the operation.
出处 《中国内镜杂志》 CSCD 2001年第5期11-11,14,共2页 China Journal of Endoscopy
关键词 尿道狭窄 尿道内切开术 Urethral Stricture Internal Urethrotomy
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参考文献7

  • 1[1]Spirnak JP,Smith EM,Elder JS.Posterior urethral obliteration treated b y endoscopic reconstitution,internal urethrotomy and temporary self-dilation.J Urol,1993;149:766
  • 2[2]Boccon Gibod L,LePortz B.Endoscopic urethrotomy:Does it live up to its promise?J Urol,1982;127:433
  • 3吴永安,朱德玉.创伤性后尿道断裂的内窥镜重建术[J].中华泌尿外科杂志,1990,11(6):360-362. 被引量:3
  • 4[4]El-abd SA.Endoscopic treatment of posttraumatic urethral obliteration: experience in 396 patients.J Urol,1995;153:67~71
  • 5[5]Bodker A,Ostri P,Rye-Andersen J,et al.Treatment of recurrent urthral s tricture by internal urthrotomy and intermittent self-catheterization:A controll ed study of a new therapy.J Urol,1992;148:308~310
  • 6[6]Yachia D,Beyar M.The use of three types of self-expanding and self-ret aining temporary coil stents in the treatment of recurrent strictures in varous parts of the urthra.J Urol,1992;part247:369A
  • 7[7]Morey AE,Mcaninch JW.Reconstruction of posterior urthral disruption in juries:outcome analysis in 82 patients,J Urol,1997;157:506~510

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  • 1陈南辉,张圣杰,李晓飞,张伟.腔镜下钬激光内切开加定期尿道扩张治疗男性尿道狭窄及闭锁[J].岭南现代临床外科,2010,10(3):216-217. 被引量:6
  • 2陈映鹤,何有华,张磊,陈志勇,杨世坤.内窥镜下尿道切开及电切术治疗尿道狭窄或闭锁[J].实用医学杂志,2004,20(6):649-650. 被引量:6
  • 3董自强,宋兴福,许晓明,胡敬祖,毛峥,余洋.尿道狭窄内切开术后支架导尿管留置时间的研究[J].中国现代医学杂志,2006,16(10):1589-1590. 被引量:12
  • 4Rossi Nero R, Tschirderwahn S, Rose A, et al. Endoscopic manage- ment of urethral stricture. Urologe A, 2010, 49 (6): 708, 710, 712- 713.
  • 5Steenkamp JW, Heyns CF, de Kock ML. Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective, ran- domized comparison. J Urol, 1997, 157(1): 98-101.
  • 6Lumen N, Oosterlinck W, Decaestecker K, et al. Endoscopic incision of short (<3 cm) urethral strictures after phallic reconstruction. J En- dourol, 2009, 23(8): 1329-1332.
  • 7Mangera A, Chapple C. Management of anterior urethral stricture: anevidence-based approach. Curr Opin Urol, 2010, 20(6): 453-458.
  • 8梅骅,陈凌武,高新主编.泌尿外科手术学[M].北京:人民卫生出版社,2008.50-52.
  • 9Steenkamp JW, Heyns CF, de Kock ML.Internal urethrotomy versus dilation as treatment for male urethral strictures[J]. a prospective, randomized comparison.J Drol, 1997, 157(1): 98- 101.
  • 10陈昭颉,王亮,杨前哨,王庆堂,姜曙光,朱方强.192 例男性创伤性尿道狭窄的腔内治疗[J].中华外科杂志,1997,35(4):209-211. 被引量:19

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