经尿道手术治疗男性尿道狭窄与闭锁115例报告  

Clinical research on endourethral surgery in 115 patients with urethrostenosis and urethratresia

作　　者：刘见辉[1] 梁朝朝[1] 张贤生[1] 郝宗耀[1] 王克孝[1] 江长琴[1] 樊松[1] 陈先国[1] 

机构地区：[1]安徽医科大学第一附属医院泌尿外科,合肥230022

出　　处：《中国男科学杂志》2012年第4期33-35,共3页Chinese Journal of Andrology

摘　　要：目的探讨经尿道手术治疗男性尿道狭窄与闭锁的治疗效果。方法2003年12月～2010年12月，男性尿道狭窄与闭锁患者115例，平均年龄45岁，狭窄或闭锁段长0．3～6．0cm，平均1．7cm。均采用经尿道手术（又称经尿道腔内手术）治疗。对手术时间、术中出血量及随访情况进行分析。结果115例中手术治疗成功101例（87．83％），改为开放手术14例（12．17％）。失败原因主要为狭窄段过长，多处狭窄，尿道错位成角等。术后95例患者获随访4～20个月，平均13个月，排尿通畅。结论经尿道手术是治疗男性尿道狭窄与闭锁的首选方法。Objective To evaluate the endourethral surgery for urethrostenosis and urethratresia. Methods One hundred and fifteen patients with urethrostenosis or urethratresia underwent endourethral surgery in our hospital from December 2003 to December 2010. Their mean age was 45 years. The average length of the stricture or atresia was 1.7 cm. Results Out of the cases, satisfactory outcome was seen in 101（87.83%）, and 14 patients （12.17%） required open surgery because of too long stenosis, multiple stenosis or formation of urethral angulation. Follow-ups for 95 patients lasted from 4 -20 months. Satisfactory voiding was achieved in these cases. Conclusion The endourethral surgery could be a simple, safe and effective intervention for urethrostenosis and urethratresia, and it is the first choice in the treatment of urethrostenosis and urethratresia.

关 键 词：尿道狭窄/外科学 内窥镜检查 

分 类 号：R695.4[医药卫生—泌尿科学]