经尿道双极等离子束电切治疗难治性尿道狭窄的疗效观察  

Effective observation of transurethral bipolar plasmakinetic internal urethrotomy for the treatment of refractory urethral stricture

作　　者：杨凯[1] 戴宇红[1] 朱劲松[1] 林天歆[2] 尹心宝[2] 

机构地区：[1]安徽省安徽医科大学附属安庆医院泌尿外科,安徽安庆246003 [2]广东省广州市中山大学附属第二医院泌尿外科,广东广州510080

出　　处：《岭南现代临床外科》2009年第1期58-60,共3页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨经尿道双极等离子体电切治疗尿道狭窄的安全性和有效性。方法2006年12月～2007年12月采用经尿道双极等离子体(柱状及襻状电极)电切治疗尿道狭窄10例,其中骨盆骨折所致1例,会阴部骑跨伤4例,前列腺电切术后狭窄2例,长期留置尿管后狭窄3例。结果10例手术均获成功.术中出血量10～30ml;术后随访10例,自行排尿通畅,无性功能障碍和尿失禁,术后6个月Qmax15～24ml/s,所有病例随访期间未出现再狭窄。结论经尿道双极等离子束电切治疗尿道狭窄,具有低温切割、切割准确、术后尿道再狭窄少等优点,是很有效的微创新技术之一。Objective To investigate the safety and efficacy of internal urethrotomy with transurethral bipolar plasmakinetic for the treatment of urethral stricture. Methods From December 2006 to December 2007,10 cases with urethral stricture were treated by transurethral bipolar plasmakinetic electric excision. Among them, urethral stricture caused by pelvic fracture, perineal straddled injury, transurethral resection of prostate and long-term indewelling catheter were in 1 cases, 4,2 and 3 cases respectively. Results Successful operations were got in 10 cases. The volume of intraoperative bleeding was 10 to 30 ml. With follow-up from 3 to 18 months, all cases were urinary unobstructed and no sexual disorder and urinary incontinence were found. Postoperative maximal urine flow rates were 15-24 ml per second. No recurrences of urethral stricture were found in all cases during follow-up period. Conclusion Transurethral internal urethrotomy with transurethral bipolar plasmakinetic possesses hypothermal cutting, cutting accuracy and less postoperative re-stricture of urethra. It is one of effective minimally invasive new technique.

关 键 词：等离子体双极电切 尿道狭窄 腔镜泌尿外科 

分 类 号：R699.6[医药卫生—泌尿科学]