内镜下穿刺引导内切开治疗复杂性尿道狭窄或闭锁  

Treatment of puncture guided internal urethrotomy with endoscopy for complex stricture or obliteration

作　　者：曹友汉[1] 李解方[1] 刘志文[1] 段友军[1] 黄振国[1] 丁韬[1] 陈平锋[1] 

机构地区：[1]南华大学附属第一医院泌尿外科,湖南衡阳421001

出　　处：《中国内镜杂志》2011年第1期57-58,61,共3页China Journal of Endoscopy

摘　　要：目的探讨复杂性尿道狭窄或闭锁内镜下治疗方法、手术技巧和疗效。方法对12例复杂性尿道狭窄或闭锁患者,联合采用输尿管镜下穿刺引导内切开加双极等离子体尿道疤痕切除术进行治疗。结果 12例复杂性尿道狭窄或闭锁患者均1次手术成功,手术时间较常规方法缩短。术后无尿失禁、尿漏发生,术后6个月内需定期尿道扩张,3例再次出现尿道狭窄于6个月后内镜下疤痕组织切除治愈。结论采用内镜下穿刺引导内切开治疗复杂性尿道狭窄或闭锁,可降低手术盲目性,减少并发症发生,提高手术成功率。【Objective】 To explore the therapy method,operation skill and efficacy with endoscopy for complex stricture or obliteration.【Methods】 12 case patients with complex urethral stricture or obliteration were treated by using punture guided inernal urethrotomy with ureteroscopy and bipolar plasmakinetic for urethral scar.【Results】12 case patients with complex urethral stricture or obliteration once gained successful operation,and operation time shorter than conventional method.No urinary incontinence and urine leakage happened after internal urethrotomy.Regular urethral dilatation was needed in postoperation 6 month,and 3 case patients recurred urethrostenosis and were cured through urethral scar resection with endoscopy six month later.【Conclusions】We can reduce operative blindness,decrease complication and increase operative success using puncture guided internal urethrotomy with endoscopy and bipolar plasmakinetic for urethral scar resection.

关 键 词：尿道狭窄 尿道闭锁 内镜术 

分 类 号：R695[医药卫生—泌尿科学]