自制带孔芯尿道探条、蝶形探条和自制导管扩张不同部位尿道狭窄的临床疗效分析  

Analysis of the clinical effect of self-made urethral probe with hole,butterfly probe and self-made catheter in dilatation of urethral stricture in different parts

作　　者：孔东波[1] 江波涛[1] 邹伟[1] 饶志刚[1] 赵克栋[1] 郭宗华[1] KONG Dongbo;JIANG Botao;ZOU Wei;RAO Zhigang;ZHAO Kedong;GUO Zonghua(Department of Urology,Xianning Central Hospital,First Affiliated Hospital of Hubei University of Science and Technology,Xianning,Hubei,437100,China)

机构地区：[1]咸宁市中心医院湖北科技学院附属第一医院泌尿外科,湖北咸宁437100

出　　处：《临床泌尿外科杂志》2021年第9期746-748,共3页Journal of Clinical Urology

基　　金：2016年度咸宁市中心医院同济咸宁医院院级科研项目(No:2016XYA006)

摘　　要：介绍几种尿道扩张的方法,回顾性收集2010年1月—2019年12月收治的56例不同类型尿道狭窄患者,采用我们自制的带孔芯尿道探条、蝶形探条及自制导管进行尿道扩张治疗。56例尿道狭窄患者中,除1例尿道球部狭窄病例反复扩张仍不能恢复正常排尿,改行尿道狭窄段切除再吻合外,其余55例尿道狭窄患者均扩张效果满意,无一例术中尿道损伤和(或)形成假道,扩张前自由尿流率为(3.1±0.15)mL/s,扩张后自由尿流率(10.5±0.26)mL/s,两者比较差异有统计学意义(P<0.05)。可见我们自制带孔芯尿道探条、蝶形探条及自制导管有效避免了假道的形成,提高了扩张成功率,保证了扩张效果。The clinical data of fifty-six patients with different types of urethral stricture in the past 10years were retrospectively analyzed to introduce several methods of urethral dilatation.Urethral dilatation was performed with the self-made urethral probe with hole,butterfly probe and self-made catheter.In 56patients with urethral stricture,only 1case with bulbourethral stricture could not restore normal micturition after repeated dilatation.The other 55patients with urethral stricture underwent urethrotomy and anastomosis,and the free flow rate was(3.1±0.15)mL/s before dilatation and(10.5±0.26)mL/s after dilatation.There was significant difference(P<0.05).The self-made urethral probe with hole and core,butterfly probe and urethral opening tubular support device can effectively avoid the formation of false urethral tract,improve the success rate of dilatation,and ensure the dilatation effect.

关 键 词：带孔芯 尿道探条 尿道狭窄 

分 类 号：R693[医药卫生—泌尿科学]