外伤性尿道狭窄外科处理的临床分析（附112例报告）  

A clinical analysis of the management of traumatic urethral stricture （Report of 112 cases）

作　　者：章益峰[1] 郎根强[1] 张炯[1] 褚健[1] 曹建伟[1] 

机构地区：[1]上海解放军第411医院泌尿外科,上海200081

出　　处：《国际泌尿系统杂志》2014年第2期175-177,共3页International Journal of Urology and Nephrology

摘　　要：目的 探讨外伤性尿道狭窄的最佳手术方法,提高疗效.方法 采用尿道（冷刀）内切开术治疗尿道狭窄97例,采用尿道狭窄段切除端-端吻合术治疗尿道狭窄15例.结果 97例经尿道内切开治疗者手术成功率100％,15例尿道狭窄切除端-端吻合治疗者手术成功率93.3％.结论 对单纯尿道狭窄和可引导复杂性尿道狭窄,应首选尿道（冷刀）内切开术.尿道狭窄段切除端-端吻合术仍是复杂性尿道狭窄的可靠术式.Objectives To present and evaluate the therapeutic effects of different methods for the management of urethral stricture.Methods Materials of 112 cases of patients with urethrostenosis were reviewed.Results 97 cases out of 112 were treated with endoscopic incision and the cure rate was 100% ; 15 cases were treated with excision of the area of fibrosis and a primary reanastomosis of the normal ends of the urethra,the effective rate being 94.7%.Conclusions If a urethral catheter or guided wire is passed through the stricture,internal urethrotony was believed to be the treatment of choice for urethrostenosis.Excision of the area of fibrosis and a primary reanastomosis of the normal ends of the urethra,which is the most reliable technique for the treatment of complex urethral stricture.

关 键 词：尿道狭窄 

分 类 号：R699[医药卫生—泌尿科学]