内镜微创治疗尿道狭窄或闭锁38例临床观察.docVIP

内镜微创治疗尿道狭窄或闭锁38例临床观察[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。 [关键词] 尿道狭窄;内窥镜术;微创 [中图分类号] R691.1 [文献标识码] A [文章编号] 1673-9701(2010)06-127-02 Clinical Observation of 38 Cases Endoscopic Treatment of Urethral Stricture and Atreturethria FU Xiangyang Department of the First Surgery,the People?Hospital of Xiangyin County,Hunan Province,Xiangyin 414600,China [Abstract] 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. [Key words] Urethral stricture,Endoscopic treatment,Minimally invasive 尿道狭窄或闭锁是泌尿外科的常见病,多由外伤、炎性、医源性因素引起,处理较困难尤其是对于病情较严重的患者,目前内镜微创治疗已成为该病的主要治疗方法。2006年1月～2008年12月我院收治尿道狭窄或闭锁患者51例,其中38例采用经内镜下微创治疗,获得良好效果,现报道如下。 1资料与方法 1.1一般资料 选择我院收治的尿道狭窄或闭锁患者51例,全部为男性患者,年龄19～72岁,平均46.5岁;其中前尿道狭窄21例,后尿道狭窄或闭锁30例;曾经外伤后行尿道会师术16例、尿道吻合术12例,经膀胱前列腺摘除术后9例,TURP术后8例,留置导尿管术