摘要
目的探讨内镜微创治疗尿道狭窄或闭锁的方法和临床效果。方法经尿道单镜或多镜联合下,行尿道内切开、尿道瘢痕电切等对尿道狭窄或闭锁进行治疗,对其手术疗效及操作要点进行回顾性分析和总结,并与开放性手术治疗组进行对比。结果内镜治疗组38例患者,37例手术成功,总成功率为97.4%;开放性手术组13例,成功12例,总成功率为92.3%。内镜治疗组尿流率由术前的(5.3±3.2)mL/s上升至(29.6±10.8)mL/s,开放性手术组尿流率由术前的(5.7±4.1)mL/s上升至(29.4±11.5)mL/s,两组间无显著性差异。结论内镜微创治疗尿道狭窄或闭锁,手术时间短,出血少,术后排尿通畅,副损伤小,是治疗男性尿道狭窄或闭锁的首选术式,值得临床推广。
Objective To evaluate the methods and clinical results of endoscopic treatment of urethral stricture and atreturethria. Methods internal urethrotomy and atreturethria through urethroscope or combined with other endoscopes,retrospective analysis and summary the operation points and efficacy,compared with the open surgery group. Results 37 cases were succeed in Endoscopic treatment group while 12 cases were succeed in open surgery group, success rates were 97.4% and 92.3%. The flow rate in Endoscopic treatment group went up to （29.6 ± 10.8）mL/s from （5.3 ±3.2）mL/s,the flow rate in the open surgery group went up to （29.4 ± 11.5）mL/s from（5.7± 4.1 ）mL/s,no significant differences in two group. Conclusion endoscopic treatment urethral stricture and atreturethria,void with a good stream and mini-invasivemess,less bleeding and less time were used. It can be considered as the first choice of treatment of men＇s urethral stricture and atreturethria,should be widely expand.
出处
《中国现代医生》
2010年第6期127-128,共2页
China Modern Doctor
关键词
尿道狭窄
内窥镜术
微创
Urethral stricture,Endoscopic treatment, Minimally invasive
