输尿管镜联合球囊扩张导管在尿道狭窄治疗中的应用  

Combined application of ureteroscopy and balloon catheter in treatment of urethral stricture

作　　者：董馨[1] 王爽[1] 唐美玲[1] 

机构地区：[1]哈尔滨医科大学附属第一医院手术室,黑龙江哈尔滨150001

出　　处：《哈尔滨医科大学学报》2013年第5期459-461,共3页Journal of Harbin Medical University

摘　　要：目的探讨输尿管镜联合球囊扩张导管在尿道狭窄治疗中的临床疗效。方法 36例尿道狭窄患者在输尿管镜直视下置入斑马导丝,输尿管镜沿导丝进入膀胱,退镜,24F球囊扩张导管扩张尿道狭窄段,留置三腔硅胶尿管,3～4周后拔除,复查尿流率,定期扩张尿道后3个月再次复查尿流率。结果36例患者均手术顺利,无严重并发症出现,术后3～4周拔除尿管复查Qmax为13.2～29.8 mL/s,平均(17.6±3.2)mL/s,3月后复查Qmax为15.1～32.7 mL/s,平均(21.6±3.9)mL/s,术后随访3～16个月均排尿良好。结论输尿管镜联合球囊扩张治疗男性尿道狭窄操作简单、安全、有效,并发症少,患者痛苦小、成功率高。Objective To investigate the clinical effect of ureteroscopes combined with balloon catheter in the treatment of urethrostenosis. Methods Thirty-s＇ix cases of urethral stricture was placed zebra guide wire under ureteroscopy. Ureteroscopes was taken into the bladder along the guide wire, and then was withdrawn. The 24F balloon catheter was used to expand the urethral stricture. Three cavity catheter was left for 3 -4 weeks after extraction and the urine flow rate was reviewed after removing the catheter. Urine flow rate was checked again after urinary tract dilation for 3 months. Results All the 36 patients were successfully operated, without serious complications, Qmax was 13.2 ～29.8 mL/s, the average was （17.6 ± 3.2 ） mL/s postopera- tive 3 - 4 weeks of catheter removal. Qmax was 15. 1 ～ 32. 7 mL/s after 3 months, the average was （21.6 ±3.9） mL/s. The patients were followed up for 3 ～ 16 months, and with good uri- nation. Conclusion Ureteroseopy combined with balloon dilatation in the treatment of male u- rethral stricture is simple, safe, effective, and with fewer complications, less pain, high suc- cess rate.

关 键 词：尿道狭窄 球囊扩张导管 输尿管镜 尿道扩张术 

分 类 号：R699.6[医药卫生—泌尿科学]