腔内手术治疗男性尿道狭窄27例临床分析

ENDOURETHRAL SURGERY FOR 27 CASES OF URETHROSTENSIS

目的 :评估腔内手术治疗男性尿道狭窄的有效性。方法 :总结 2 7例尿道内切开、经尿道瘢痕电切除术治疗尿道狭窄或闭锁的经验。结果 :2 6例 ( 96.3 % )手术成功 ,1例手术失败者与狭窄段太长有关 ;随访 5～ 72个月 ,平均 2 6个月 ,均排尿通畅。结论 :腔内手术治疗尿道狭窄是安全、有效的。术前了解尿道狭窄情况 ,术中沿正道冷切开 ,充分切开瘢痕及电刀切除瘢痕组织 。

Objective:To evaluate the endourethral surgery for urethrostensis.Methods:Twenty-seven patients suffering from urethrostensis or u rethratresia were treated by endourethral surgery.Such as interal urethrotomy and transurethral scar electrosctomy. Some experi ences were learned and summed up.Results:The success rate in this series was 96.3%,the cause of 1 failure was due to long-segment stricture. Patients have been followed up f or 5～72months with mean of 26 months,satisfactory voiding has been achieved in all.Conclusions:Endourethral surgery is safe and efficient treatment for urethrosnosis. The success of treatment depends on a few key points.Firstly , the stenosed segment of urethra should be thoroughly understood.Secondly, durin g operation the striture should be incised along the true urethra tract with c ol d-knife. The scar should be incised completely and resected thoroughly by electr ic. Finally, in the post-operation period, infection should be prevented.