【摘要】 目的探讨尿道内切开术、尿道瘢痕切除吻合术及游离包皮瓣尿道成形术治疗尿道狭窄的效果。方法回顾分析总结77例尿道狭窄病例,其中采用尿道内切开39例,尿道瘢痕切除吻合术27例,游离包皮瓣尿道成形术11例。结果 39例尿道内切开手术者,36例一次手术成功,3例改行尿道成形术。27例尿道瘢痕切除吻合者,2例再次狭窄行尿道内切开后治愈;11例行尿道成形手术者,均一次手术成功。总有效率93.5%。结论尿道狭窄应根据尿道狭窄的不同程度,应选择不同手术方式,才能提高疗效。更多还原

【Abstract】 Objective To explore the value of internal urethratomy,urethra anastomosis and urethroplasty in the treatment of urethrastenosis.Methods 77 cases of urethrostenosis were retrospectively discussed.Among 77 cases of urethrostenosis,39 cases were treated by internal urethrotomy,27 cases were treated by urethra anastomosis and 11 cases were treated by liberation preputial flap urethroplasty.Results In 39 cases by internal urethrat-omy, 36 cases were successful in one operation,3 cases were treated by endourethral surgery again and 3 cases were treated by urethroplasty.In 27 cases treated by urethra anastomosis,25 cases were successful in one operation,2 cases were treated by endourethral surgery again.11 cases by urethroplasty were all successful in the first operation.The total effective rate was 93.5%.Conclusion The keys of treatment of urethrastenosis are to choose different surgical methods according to the different degrees of urethrostenosis.更多还原