摘要
目的探讨经尿道等离子体杆状电极电切治疗尿道狭窄和闭锁的安全性和有效性,提高手术技巧。方法2005年8月～2006年8月应用等离子体杆状电极电切治疗27例男性尿道狭窄和闭锁,患者年龄16～72岁,平均38岁,其中骨盆骨折所致12例,会阴部骑跨伤所致8例,长期留置尿管致炎性狭窄3例,经尿道前列腺电切术后尿道狭窄2例,尿道结石引起尿道狭窄2例。狭窄部位及长度:后尿道狭窄19例,前尿道狭窄3例,后尿道狭窄合并前尿道狭窄2例,后尿道闭锁3例。狭窄长度0.6～4.0cm,平均1.8cm。结果26例手术1次成功,1例因骨盆骨折致尿道断裂在外院行尿道会师术,术后尿道狭窄反复扩张尿道,伴有严重瘢痕和假道形成,3次手术成功,全组1次手术成功率96.3%(26/27)。随访3～12个月,27例患者排尿均通畅,无性功能障碍和尿失禁。结论经尿道等离子体杆状电极电切治疗尿道狭窄和闭锁是安全和有效的,可作为治疗尿道狭窄的首选方法。
[Objective] To investigate the efficacy and safety of endourethral surgery for posterior urethral stricture and occlusion using bipolar plas makinetic technique, and to improve the skill of endourethral surgery. [Methods] Bipolar plas makinetic technique was carried out on 27 male patients （age range, 16 to 72 years, mean age 38 years） with urethral stricture and occlusion. Of them, 12 form pelvis fracture, 8 cases form straddle injury of urethra, 3 cases form long-term catherization, 2 cases form transurethral electro-resection of prostate, and 2 cases form urethra calculus. 19 cases were posterior urethral stricture, 3 cases were anterior urethral stricture, posterior urethral stricture with anterior urethral stricture were 2 cases, and urethral occlusion were 3 cases. The length of the stricture ranged from 0.6 to 4.0 cm with amean of 1.8 cm. [Results] All the patients were treated successfully, Among the 27 patients, the curative rate in this series was achieved to 96.3% （26/27） by once; 1 case underwent 3 endourethral surgical treatment due to serious urethral stricture. All the patients were followed up from 3 to 12 months, no postoperative sexual dysfunction and uroclepsia and they had normal urination. [Conclusions] Endoscopic operation with plao-makinetic technique is believed to be the frist choice and safe and efficient means for urethral stricture and occlusion.
出处
《中国内镜杂志》
CSCD
北大核心
2007年第11期1184-1185,1188,共3页
China Journal of Endoscopy
