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山东大学学报(医学版) ›› 2012, Vol. 50 ›› Issue (6): 101-.

• 临床医学 • 上一篇    下一篇

膀胱尿道软镜配合筋膜扩张器治疗单纯性尿道狭窄疗效分析

袁航,金讯波,孙鹏,李鹏    

  1. 山东大学附属省立医院泌尿微创中心, 济南 250012
  • 收稿日期:2011-12-28 出版日期:2012-06-10 发布日期:2012-06-10
  • 通讯作者: 金讯波(1957- ),男,主任医师,博士生导师,主要从事泌尿外科疾病的微创治疗研究。 E-mail:jinxunbo@163.com
  • 作者简介:袁航(1984- ),男,硕士研究生,主要从事尿道狭窄的微创治疗

The electron flexible cystourethroscope combined with a fascia
dilator for simple urethral stricture

YUAN Hang, JIN Xun-bo, SUN Peng, LI Peng   

  1. Minimally Invasive Urology Center, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China
  • Received:2011-12-28 Online:2012-06-10 Published:2012-06-10

摘要:

目的   探讨膀胱尿道软镜配合筋膜扩张器治疗单纯性尿道狭窄的临床疗效。方法   回顾性分析自2008年10月至2010年10月,使用膀胱尿道软镜配合筋膜扩张器治疗80例单纯性尿道狭窄患者的过程。分析患者尿道狭窄类型、术后留置尿管时间、术后并发症及预后,评估该手术方式治疗单纯性尿道狭窄的疗效,并对手术技巧及术后处理进行总结。结果   78例患者一次扩张成功,手术时间7~12min,平均9min,无尿道穿孔、尿道撕裂及假道形成等并发症;2例因瘢痕质硬及狭窄段较长扩张失败,最终改行绿激光汽化术治疗。术后随访4~24个月,64例患者随访至今,56例患者经不同次数尿道扩张后,至今排尿情况良好;8例患者因狭窄段瘢痕质硬及扩张后瘢痕缩窄迅速,反复出现尿线变细、排尿困难最终改行绿激光手术治疗。结论   膀胱尿道软镜配合筋膜扩张器是治疗单纯性尿道狭窄简单、安全、有效的方法。

关键词: 尿道狭窄;膀胱尿道软镜;筋膜扩张器;尿道扩张术;疗效分析

Abstract:

Objective   To investigate the safety and efficacy of the electron flexible cystourethroscope combined with a fascia dilator to treat simple urethral stricture. Methods   80 patients with simple urethral stricture confirmed by physical examination and radiology underwent urethral dilation with the electron flexible cystourethroscope combined with a fascia dilator in our center. The outcomes were retrospectively analyzed in accordance with the stricture pattern, catheterization duration time and prognosis. Results   78 cases were successfully performed with urethral dilation without serious complications. The median time was 9min (7 to 12min). 64 patients were followed up (4 to 24 months). And 8 patients underwent the photo-selective vaporization of urethral stricture due to stubborn restenosis and personal delay of treatment. Conclusion   The electron flexible cystourethroscope combined with a fascia dilator in the treatment of simple urethral stricture demonstrates satisfactory safety, briefness and efficacy.

Key words: Urethral stricture; Electron flexible cystourethroscope; Fascia dilator; Urethral dilation; Curative effect analysis

中图分类号: 

  • R699.6
[1] 申长发,刘辉,金讯波,赵勇,熊晖,陈修德,王正,胡波. 尿道选择性绿激光前列腺汽化术治疗巨大前列腺增生症[J]. 山东大学学报(医学版), 2008, 46(12): 1207-1208.
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