【摘要】 目的:探讨尿道内切开联合等离子电切术治疗男性后尿道狭窄的疗效。方法:男性后尿道狭窄患者22例,其中7例狭窄段长度<0.5 cm,15例狭窄段长度0.5～2 cm。22例患者均行尿道内切开联合等离子电切术。结果:22例患者均顺利完成手术,无尿外渗、尿失禁、肠管损伤等并发症。拔出导尿管后均随访1～24个月,其中18例(81.8%)患者治愈,排尿通畅,最大尿流率>15 mL/s;3例术后尿线细,根据尿流率行尿道扩张,目前最大尿流率均>15 mL/s;1例多次尿道扩张后仍排尿困难,改为后尿道狭窄切除端端吻合术,最大尿流率达15 mL/s。结论:尿道内切开联合等离子电切术治疗男性后尿道狭窄具有创伤小、愈合快、并发症少、复发率低等优点,值得推广。更多还原

【Abstract】 Objective:To explore the efficacy of internal urethrotomy and plasma electrotomy in treatment of male posterior urethral stricture.Methods:A total of 22 male patients with posterior urethral stricture were treated by internal urethrotomy and plasma electrotomy.Among them,the stricture length was shorter than 0.5cm in 7 cases,while it was between 0.5 cm and 2.0 cm in the other 15 cases.Results: All the patients underwent surgery successfully and have been followed up for 1 to 24 months after pulling out catheter.After surgery,18 cases recovered with the maximum flow rate above 15 mL/s.Three cases were then treated with urethral dialation and recovered.The other one case still had dysuria after treating with urethral dialation for several times,and he underwent opening surgical operation.Conclusions: It is safe and effective to treat male posterior urethral stricture with internal urethrotomy and plasma electrotomy.更多还原