双极等离子尿道内切开及尿道瘢痕电切除术治疗尿道狭窄  

Internal Urethrotomy with Bipolar Plasmakinetic and transurethral Electroresection for Treatment of Urethral Stricture

作　　者：曾涛[1] 孟栋良[1] 王金根[1] 黎源[1] 黄海鹏[1] 包佑根[1] 

机构地区：[1]江西省人民医院泌尿外科,南昌330006

出　　处：《实用临床医学（江西）》2011年第3期38-39,42,共3页Practical Clinical Medicine

摘　　要：目的探讨双极等离子尿道内切开及尿道瘢痕电切除术治疗尿道狭窄的疗效与安全性。方法采用双极等离子尿道内切开及尿道瘢痕电切除术治疗尿道狭窄患者42例。结果 42例患者中39例一次手术成功,手术成功率为92.9%;3例按预期拔除导尿管后排尿困难,插入导尿管失败,行膀胱造瘘3个月后改行开放手术。均无大出血、尿外渗、假道、尿失禁及直肠穿孔等并发症。42例术后随访3~18个月,均排尿通畅,最大尿流率（Qmax）16~25 mL.s-1。结论双极等离子尿道内切开及尿道瘢痕电切除术治疗尿道狭窄能迅速、准确切开,切除狭窄瘢痕,具有低温切割、出血少、术后尿道再狭窄机会少等优点,是一种安全有效的方法。Objective To evaluate the efficiency and safety of internal urethrotomy with bipolar plasmakinetic and transurethral electroresection in the treatment of urethral stricture.Methods Internal urethrotomy with bipolar plasmakinetic and transurethral electroresection were performed in 42 patients with urethral stricture.Results Among the 42 patients,39 patients underwent the operation successfully at a time with a success rate of 92.9%.Three patients had urinary obstruction after urethral catheter withdrawal and then underwent open reconstruction after cystostomy for 3 months.No patients had hemorrhea,urinary extravasation,false passage,urinary incontinence,rectal perforation and other complications.All patients were followed up for 3~18 months and the maximum urine flow rate was 16～25 mL·s-1.Conclusion Internal urethrotomy with bipolar plasmakinetic combined with transurethral electroresection is safe and effective for the treatment of urethral stricture with advantages of resecting quickly,lower temperature incising,less blood loss and less recurrences.

关 键 词：尿道狭窄 尿道内切开 双极等离子技术 

分 类 号：R699.6[医药卫生—泌尿科学]