尿道内切开联合等离子电切术治疗男性后尿道狭窄  

Internal Urethrotomy and Plasma Electrotomy in Treatment of Male Posterior Urethral Stricture

作　　者：马强[1] 贾国金[1] 金伟[1] 陆雪强[1] 谢雪锋[1] 陈卓[1] 

机构地区：[1]复旦大学附属金山医院泌尿外科,上海201508

出　　处：《中国临床医学》2013年第2期164-165,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨尿道内切开联合等离子电切术治疗男性后尿道狭窄的疗效。方法:男性后尿道狭窄患者22例,其中7例狭窄段长度<0.5 cm,15例狭窄段长度0.5～2 cm。22例患者均行尿道内切开联合等离子电切术。结果:22例患者均顺利完成手术,无尿外渗、尿失禁、肠管损伤等并发症。拔出导尿管后均随访1～24个月,其中18例(81.8%)患者治愈,排尿通畅,最大尿流率>15 mL/s;3例术后尿线细,根据尿流率行尿道扩张,目前最大尿流率均>15 mL/s;1例多次尿道扩张后仍排尿困难,改为后尿道狭窄切除端端吻合术,最大尿流率达15 mL/s。结论:尿道内切开联合等离子电切术治疗男性后尿道狭窄具有创伤小、愈合快、并发症少、复发率低等优点,值得推广。Objective：To explore the efficacy of internal urethrotomy and plasma electrotomy in treatment of male posterior urethral stricture. Methods：A total of 22 male patients with posterior urethral stricture were treated by internal urethrotomy and plasma electrotomy. Among them, the stricture length was shorter than 0.5cm in 7 cases, while it was between 0.5 cm and 2.0 cm in the other 15 cases. Results： All the patients underwent surgery successfully and have been followed up for 1 to 24 months after pulling out catheter. After surgery, 18 cases recovered with the maximum flow rate above 15 mL/s. Three ca ses were then treated with urethral dialation and recovered. The other one case still had dysuria after treating with urethral dialation for several times, and he underwent opening surgical operation. Conclusions： It is safe and effective to treat male posterior urethral stricture with internal urethrotomy and plasma electrotomy.

关 键 词：后尿道狭窄 尿道内切开 电切术 

分 类 号：R695[医药卫生—泌尿科学]