中华创伤杂志
中華創傷雜誌
중화창상잡지
Chinese Journal of Traumatology
2009年
4期
341-344
,共4页
何有华%谢辉%陈映鹤%竺海波%张磊%陈志勇%杨世坤%饶大庞%虞海锋%余凯远
何有華%謝輝%陳映鶴%竺海波%張磊%陳誌勇%楊世坤%饒大龐%虞海鋒%餘凱遠
하유화%사휘%진영학%축해파%장뢰%진지용%양세곤%요대방%우해봉%여개원
创伤和损伤%尿道狭窄%男性%腔内治疗
創傷和損傷%尿道狹窄%男性%腔內治療
창상화손상%뇨도협착%남성%강내치료
Wounds and injuries%Urethrostenosis%Male%Endoscopic treatment
目的 探讨多种腔镜技术联合治疗男性创伤性尿道狭窄的临床疗效和手术技巧.方法 联合应用尿道镜冷刀切开、经尿道瘢痕电切和输尿管镜内切开技术治疗男性创伤性尿道狭窄47例,其中前尿道狭窄29例,后尿道狭窄18例,并对临床资料进行回顾性分析.结果 43例腔内手术一次成功,1例第二次手术成功,术后排尿通畅,无尿失禁、尿瘘和再手术;3例后尿道狭窄腔内手术未获成功,改行耻骨上膀胱切开会师戳通尿道后用电切镜切除瘢痕,术后1例最大尿流率长期稳定在9～12 ml/s,1例依赖尿道扩张维持排尿,1例不能排尿保留膀胱造瘘管.结论 多种腔镜技术联合应用治疗男性创伤性尿道狭窄成功率高、安全性好,远期疗效稳定,值得推广应用.
目的 探討多種腔鏡技術聯閤治療男性創傷性尿道狹窄的臨床療效和手術技巧.方法 聯閤應用尿道鏡冷刀切開、經尿道瘢痕電切和輸尿管鏡內切開技術治療男性創傷性尿道狹窄47例,其中前尿道狹窄29例,後尿道狹窄18例,併對臨床資料進行迴顧性分析.結果 43例腔內手術一次成功,1例第二次手術成功,術後排尿通暢,無尿失禁、尿瘺和再手術;3例後尿道狹窄腔內手術未穫成功,改行恥骨上膀胱切開會師戳通尿道後用電切鏡切除瘢痕,術後1例最大尿流率長期穩定在9～12 ml/s,1例依賴尿道擴張維持排尿,1例不能排尿保留膀胱造瘺管.結論 多種腔鏡技術聯閤應用治療男性創傷性尿道狹窄成功率高、安全性好,遠期療效穩定,值得推廣應用.
목적 탐토다충강경기술연합치료남성창상성뇨도협착적림상료효화수술기교.방법 연합응용뇨도경냉도절개、경뇨도반흔전절화수뇨관경내절개기술치료남성창상성뇨도협착47례,기중전뇨도협착29례,후뇨도협착18례,병대림상자료진행회고성분석.결과 43례강내수술일차성공,1례제이차수술성공,술후배뇨통창,무뇨실금、뇨루화재수술;3례후뇨도협착강내수술미획성공,개행치골상방광절개회사착통뇨도후용전절경절제반흔,술후1례최대뇨류솔장기은정재9～12 ml/s,1례의뢰뇨도확장유지배뇨,1례불능배뇨보류방광조루관.결론 다충강경기술연합응용치료남성창상성뇨도협착성공솔고、안전성호,원기료효은정,치득추엄응용.
Objective To study the clinical efficacy and operative skill of multi-endoscopic technique in treatment of post-traumatic urethrostenosis in male patients.Methods A retrospective analysis was done on clinical data of 47 male patients with post-traumatic urethrostenosis treated with direct visional incision urethrotomy combined with transurethral resection of scar tissue and ureteroscopic incision.There were 29 patients with anterior urethral strictures and 18 with posterior urethral strictures.Results Of all,43 patients underwent successful endoscopic surgeries at the first time but one underwent secondary surgery because of unsuccessful endoscopic incision.These patients achieved satisfactory results without urinary incontinence,fistula or reoperation.The left three patients underwent open surgeries because of unsuccessful endoscopic incision,in which one patient could micturate at maximal flow rate of 9-12 ml/s,without therapeutic urethral dilation,one could micturate under regular therapeutic dilation and the other one could not micturate.Conclusions With the advantages of safety,high success rate and good long-term efficiency,multi-endoscopic technique can be used as an initial treatment for male patients with post-traumatic urethrostenosis and is worthy to be popularized.
