鼻内镜辅助后尿道成形术临床疗效分析

Nasal endoscopy-assisted bulboprostatic anastomosis for posterior urethral stricture

目的:研究鼻内镜辅助后尿道成形术的临床价值和手术技巧。方法:2012年1月至2014年11月,对12例复杂后尿道成形术患者采用鼻内镜辅助后尿道成形术,从手术时间、出血量、吻合成功率、视野显露进行观察,总结手术技巧。结果:8例患者均一期恢复,排尿好。2例术后3个月内尿道扩张1次,1例5个月内扩张10次痊愈,1例扩张无效内镜下切开后痊愈。结论:鼻内镜辅助后尿道成形术视野显露良好,吻合确切,可明显提高手术效果,降低手术难度。

Objective： To study the clinical value and operation skills of nasal endoscopy-assisted bulboprostatic anastomosis in the treatment of posterior urethral stricture. Methods ： Between January 2012 and November 2014, we performed nasal endoscopy-as-sisted bulboprostatic anastomosis for 12 male patients with posterior urethral stricture. We recorded the operation time, blood loss, exposure of operation visual field, and success rate of anastomosis and summarized the operation skills. Results ： Eight of the patients experienced first-stage recovery. Two underwent a urethral dilation at 3 months postoperatively, 1 received 10 urethral dilations within 5 months after surgery, and 1 underwent internal urethrotomy after failure in urethral dilation, but all the 4 cases were cured. Conclusion ： Nasal endoscopy can significantly improve the operation field exposure, elevate the precision, reduce the difficulty, and enhance the efficiency of bulboprostatic anastomosis in the treatment of posterior urethral stricture.