尿道内切开术治疗复杂性尿道狭窄的可重复性观察  

Value of repeated endoscopic urethrotomy for treatment of male urethral stricture

作　　者：高冰[1] 曾祥福[1] 魏守顺[1] 

机构地区：[1]武警总医院泌尿外科,北京100039

出　　处：《武警医学》2004年第8期576-578,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的　评估尿道内切开术治疗尿道狭窄的可重复性。方法　收集经尿道内切开术治疗的尿道狭窄及闭锁患者共 2 96例 ,分析重复实施尿道内切开术治疗复杂性尿道狭窄的应用价值。结果　 2 96例中 2 6 1例 (88.2 % )手术成功 ,其中一次手术成功者 2 17例 ,行 2次内切开术者 32例 ,行 3次内切开术者 12例 ,35例 (11.8% )手术失败 ,均行 3次以上尿道内切开术 ,效果不佳 ,2 6例给予镍钛记忆合金螺旋支架置入治疗 ,9例行开放手术。结论　尿道内切开术治疗尿道狭窄应争取首次成功 ,重复手术价值有限 。Objective To evaluate the efficacy of repeated endoscopic u re throtomy for treatment of male urethral stricture.Methods The outcomes of repeated endoscopic urethrotomy in 296 male patients with urethral s tricture were analysed.Results The surgery was suuessful in 261 patients (88.2%),of whom 217 under went a single operations,32 twice operation, a nd 12 three times operations.The surgical intervention repeated more than three times failed in 35 patients(11.8%),of whom 26 were treated with memory alloy sp iral stents,and 9 required opensurgery.Conclusions Endoscopic u rethrotomy is an efficacious treatment for male urethral stricture, but repeated operation is of limited value.

关 键 词：尿道内切开术 外科治疗 复杂性尿道狭窄 可重复性 尿道闭锁 

分 类 号：R696[医药卫生—泌尿科学]