CAJ | 학술논문

目的探讨采用经尿道等离子双极电切治疗尿道狭窄患者安全性与有效性.方法应用等离子双极电切治疗尿道狭窄46例,并进行随访3～12个月,观察临床效果.结果本组46例均获得尿道瘢痕段的准确切开和切除,尿道可顺利通过24～26F探条,并保持排尿通畅;41例术后随访,最大尿流率(Qmax)为(18.6±4.1)ml/s,较手术前明显改善(t=14.25,P＜0.05),治疗前后性功能无明显变化;均未出现尿道大量出血、尿失禁、尿道憩室瘘、尿道穿孔、直肠损伤等严重并发症.结论经尿道等离子双极电切治疗尿道狭窄并发症少、术后恢复快、狭窄复发率低,是治疗后尿道狭窄的有效方法.
목적 탐토채용경뇨도등리자쌍겁전절치료뇨도협착환자안전성여유효성.방법 응용등리자쌍겁전절치료뇨도협착46례,병진행수방3～12개월,관찰림상효과.결과 본조46례균획득뇨도반흔단적준학절개화절제,뇨도가순리통과24～26F탐조,병보지배뇨통창;41례술후수방,최대뇨류솔(Qmax)위(18.6±4.1)ml/s,교수술전명현개선(t=14.25,P＜0.05),치료전후성공능무명현변화;균미출현뇨도대량출혈、뇨실금、뇨도게실루、뇨도천공、직장손상등엄중병발증.결론 경뇨도등리자쌍겁전절치료뇨도협착병발증소、술후회복쾌、협착복발솔저,시치료후뇨도협착적유효방법.
Objective To investigate the safety and effectiveness of transurethral bipolar plasmakinefic resection in treating urethral stricture. Methods Totally 46 patients with urethral stricture were treated with transurethral bipolar plasmakinetic resection, and they were followed up for 3～12 months to observe the clinical effects. Results The segments of urethral scar were accurately incised and resected in all the 46 cases,24～26F bougies could pass through the urethra smoothly, and miction should be kept unobstructed. Totally 41 cases were followed up postoperatively, the maximal flow rate(Qmax) was ( 18.6±4.1 ) ml/s, which was obviously ameliorated as compared with that before operation(t=14.25, P＜0.05);sexual function had no obvious changes before and after operation;no serious complications of urethral massive bleeding, urinary incontinence, fistula of urethral diverticulum,urethral perforation, rectal injury, etc. was observed. Conclusion Transurethral bipolar plasmakinetic resection is an effective method for treating urethral stricture, because it has fewer complications, faster postoperative recovery and lower recurrence.