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尿道内切开治疗尿道狭窄疗效观察(附42例报告)

Outcome of direct vision internal urethrotomy for urethral stricture (Report of 42 cases)

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【作者】 刘昌荣颜克钧郭贤坤喻俊锋李爱军

【Author】 LIU Changrong 1 YAN Kejun 1 GUO Xiankun 2 YU Junfeng 1 LI Aijun 1 ( 1 Department of Urology, the First People′s Hospital of Yichang, Hubei, 443000; 2Department of Urology, Affiliated Hospital of Three Gorge Medical College)

【机构】 湖北省宜昌市第一人民医院泌尿外科!湖北宜昌443000三峡大学医学院附属医院泌尿外科

【摘要】 目的 :探讨尿道内切开治疗尿道狭窄的效果。方法 :对 42例尿道狭窄患者采用截石位 3、9、12点位放射状尿道内冷刀切开术治疗 ,其中 5例结合电切术治疗。结果 :38例一次手术成功 ,3例需再次腔内手术治疗 ,1例腔内手术失败。随访 3~ 48个月 ,41例疗效满意。结论 :腔内手术治疗尿道狭窄效果好 ,创伤小 ,副作用少 ,是治疗尿道狭窄的首选方法。

【Abstract】 Purpose:To evaluate the clinical outcome of direct vision internal urethrotomy for urethral stricture.Method:With cold knife cutting the stricture at 3?9?12 clock, 42 men with urethral stricture were treated through transurethral endoscopy, of which 5 cases were treated additionally by electroincission.Results:38 Patients succeeded in the operations and 3 received the endoscopy operation again and 1 patient met the failure in such operation. With a mean of 23 months (ranging 3~48 months) of follow up, 41 patients were treated successfully.Conclusions:Endoscopic operation had good effects on urethral stricture with smaller trauma and few complications.Transurethral cold knife urethrotomy was believed to be the first choice of treatment.

  • 【文献出处】 临床泌尿外科杂志 ,Journal of Clinaical Urology , 编辑部邮箱 ,2001年09期
  • 【分类号】R695
  • 【被引频次】28
  • 【下载频次】40
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