尿道支架在尿道狭窄中的临床应用进展

Clinical application of urethral stent in urethral stricture

尿道支架是尿道狭窄患者行尿道重建手术之外的一种可选择的治疗方式,可以相对安全地应用于某些尿道重建手术效果差或者无法行重建手术的患者。本文总结尿道支架在膀胱颈部尿道、前列腺部尿道、球膜部尿道、阴茎部尿道狭窄,以及尿道下裂术后的应用,大多数研究结果显示尿道支架的短期疗效明显,可以显著缓解症状,提高最大尿流率,降低残余尿量,改善患者生活质量,但长期效果还需要更多随访和研究证据,因此尿道支架可作为尿道重建手术的一种有益补充。

Since the appearance of urelhml stent,it has become an alternative treatment for urethral stricture except for urethral reconstructive surger,and can be used safely in some patients with poor efficacy of urethral reconstmctive surgery or unable to receive reconstructive surgery.This article summarizes the urethral stent in the application of bladder neck,prostatic urethra,ball,membrane urethra,penile urethra stricture,and postoperative hypospadias.Most study revealed that urethral stent could significantly relieve symptoms,improve the maximum urinary flow rate,reduce the residual urine volume,improve patients' quality of life,but the long-term effect need more follow-up and research evidence.