经尿道双极等离子电切治疗尿道狭窄和尿道闭锁的体会  

Transurethral endoscopic internal urethrotomy with bipolar plasmakinetic for the treatment of urethrostenosis and urethratresia

作　　者：杨宝龙[1] 关维民[1] 张勇建[1] 赵豫波[1] 徐衍盛[1] 刘萃龙[1] 鹿尔驯[1] 

机构地区：[1]北京海军总医院泌尿外科,北京100037

出　　处：《中国男科学杂志》2010年第10期41-43,共3页Chinese Journal of Andrology

摘　　要：目的探讨双极等离子尿道内切开及电切治疗尿道狭窄和尿道闭锁的疗效。方法采用双极等离子尿道内切开及电切治疗尿道狭窄和尿道闭锁患者46例,术后随访38例。结果本组46例有43例患者均一次手术成功,复发后需二次手术者2例,手术失败1例。无严重手术并发症发生。手术时间1 5～100 min,出血量<50 m1,38例术后随访2个月至5年,最大尿流率(Q_(max)),均>15 ml/s。结论双极等离子电切术治疗尿道狭窄和闭锁能迅速准确切开、切除狭窄瘢痕,具有低温切割、出血少、术后尿道再狭窄复发率低等优点,是一种安全有效的方法。Objective To evaluate the efficiency and safety of transurethral endoscopic internal urethrotomy and resection with bipolar plasmakenitic for treatment of urethrostenosis and urethratresia. Methods Forty six patients with urethrostenosis and urethratresia were operated by internal urethrotomy and resection with bipolar plasmakinitic and 38 cases had been followed up postoperatively. Results The operations were performed successfully in 43 cases at the first time operation, 2 cases with recurrence after first time operation received the second time operation, and no serious complication occurred. Treatment failure for I case was caused by long-segment urethratresia. The operation time was 15-100 mins, and less than 50ml blood was lost. Thirty eight cases had been followed up for 2 months to 5 years and the maximum urine flow rate for all was more than 15 ml/s. Conclusion The way of internal urethrotomy and resection with bipolar plasmakenitic has advantages of quick resection, lower temperature incising, less blood, few recurrence and is considered as a safe and effective technique for treatment of urethrostenosis and urethratresia.

关 键 词：尿道狭窄 尿道闭锁 双极等离子电切术 

分 类 号：R699.6[医药卫生—泌尿科学]