直视下尿道内切开术联合尿道扩张治疗男性尿道狭窄36例疗效分析

王君; 刘会范; 贾占奎; 顾朝晖

直视下尿道内切开术联合尿道扩张治疗男性尿道狭窄36例疗效分析

- 郑州大学第一附属医院泌尿外科(郑州, 450052)

详细信息

通讯作者: 刘会范,E-mail:huifanliu@zzu.edu.cn

中图分类号: R699

收稿日期: 2012-11-16

Analysis on efficacy of direct vision internal urethrotomy with cold knife followed by urethral dilation to treat urethral stricture in thirty-six male patients

- Department of Urology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China

More Information

Corresponding author: LIU Huifan, E-mail: huifanliu@zzu.edu.cn

Received Date: 16 November 2012

摘要

摘要: 目的：探讨直视下尿道冷刀内切开术联合尿道扩张治疗尿道狭窄的疗效。方法：36 例尿道狭窄患者，均接受直视下尿道内切开术联合留置尿管治疗，现对其临床资料进行回顾性分析。结果：36例中，32例一次手术成功，4例行二次手术成功。36例患者中34 例获随访6~24个月，平均15个月，5例排尿通畅，27例行尿道扩张后排尿通畅，2例术后3~4个月再次因尿道狭窄行开放手术。结论：直视下尿道内冷刀切开术联合尿道扩张治疗尿道狭窄疗效是肯定的，但远期疗效尚待长期观察。
- 尿道狭窄 /
- 内镜技术 /
- 尿道内切开术 /
- 尿道扩张
Abstract: Objective: To evaluate the transurethral endoscopic incision with cold knife in the treatment of urethral stricture.Method: Thirty-six male patients with urethral stricture underwent internal urethrotomy using internal cold-knife. The clinical data were analyzed retrospectively.Result: Direct vision internal urethrotomy has been successful in 36 patients, of whom 32 with single procedure, twice with successful outcomes in 4. All patients were followed for 6-24 months (mean 15 months) except for two cases lost, 5 patients were voiding satisfactorily, 27 patients were treated with urethral dilatation, reconstruction with open surgery (3 and 4 months after first treatment) were mandated as stricture recurred in 2 of 34 patients.Conclusion: The efficacy of direct vision internal urethrotomy with cold knife followed by urethral dilation to treat urethral stricturethe is favourable, long-term successful rate of this technique remains to be evaluated.
- urethral stricture /
- endoscopy /
- internal urethrotomy /
- urethral dilation

HTML全文

参考文献(8)

[1]	Dubey D. The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures[J]. Indian J Urol, 2011, 27:392-396.
[2]	刘晓龙, 单玉喜, 阳东荣. 经尿道绿激光瘢痕汽化与尿道狭窄内切开及电切术治疗尿道狭窄的疗效比较[J]. 中华腔镜泌尿外科杂志(电子版), 2009, 3(4):30-32.
[3]	孙晨明, 廖继强, 张志成, 等. 尿道内切开术治疗24例外伤性尿道狭窄[J]. 中华腔镜泌尿外科杂志(电子版), 2011, 5(3):45-46.
[4]	杨飞, 周祥福, 湛海伦, 等. 经尿道前列腺电切术后尿道狭窄的原因分析[J]. 中华腔镜泌尿外科杂志(电子版), 2012, 6(1):52-54.
[5]	董自强, 宋兴福, 许晓明, 等. 尿道狭窄内切开术后支架管导尿管留置时间的研究[J]. 中国现代医学杂志, 2006, 16(10):1589-1590.
[6]	何建光, 范郁会, 党建功, 等. 经尿道内切开术治疗尿道狭窄和闭锁[J]. 临床泌尿外科杂志, 2009, 24(12):931-932.
[7]	张炯, 徐月敏, 撒应龙, 等. 直视下尿道内切开术治疗尿道狭窄20年经验总结[J]. 中华泌尿外科杂志, 2011, 32(8):554-557.
[8]	Rapp D E, Chanduri K, Infusino G, et al. Internet survey of management trends of urethral strictures[J]. Urol Int, 2008, 80:287-290; discussion 290-291.