男性尿道狭窄的腔内治疗进展

Progress in Endovascular Treatment of Male Urethral Stricture

男性尿道狭窄是泌尿外科常见病,因男性尿道解剖结构和功能的复杂性,造成其治疗具有一定困难。虽然开放式尿道成形术治疗男性尿道狭窄疗效确切,但创伤大且易出现并发症。而经尿道腔内手术治疗由于其微创性更易被泌尿外科医师和患者所接受,手术方式主要包括尿道扩张术、尿道内切开术、尿道敞开后腔内狭窄瘢痕切除术、尿道支架置入术及尿道内成形术。当两种或多种微创技术联合应用,能有效克服彼此缺陷,互相补充,有望更好地解决单一腔内技术导致的高复发率问题,提高临床疗效。本文结合国内外最新研究进展,就男性尿道狭窄的腔内治疗术式作一综述,以加深泌尿外科医师对男性尿道狭窄腔内治疗的认知,为治疗该病不同微创技术的运用提供理论参考。

Male urethral stricture is a common disease in urology.Due to the complexity of male urethral anatomy and function,it is difficult to treat it.Although open urethroplasty is effective in the treatment of male urethral stricture,it has great trauma and is prone to complications.Transurethral endoscopic surgery is more easily accepted by urologists and patients because of its minimally invasive nature.The surgical methods mainly include urethral dilatation,internal urethrotomy,urethral stricture scar resection,urethral stent implantation and urethroplasty.When two or more minimally invasive techniques are combined,they can effectively overcome each other's defects and complement each other,thus it is expected to better solve the problem of high recurrence rate caused by single intracavitary technique and improve clinical efficacy.Based on the latest research progress at home and abroad,this paper reviews the endovascular treatment of male urethral stricture,so as to deepen the understanding of urologists on the endovascular treatment of male urethral stricture and provide theoretical reference for the application of different minimally invasive techniques in the treatment of this disease.