CAJ | 학술논문

目的：探讨肾镜联合S形尿道扩张器治疗男性尿道狭窄的临床疗效。方法利用肾镜直视下将斑马导丝置入膀胱，导丝引导下通过S形尿道扩张器进行尿道扩张治疗男性尿道狭窄41例，术后留置硅胶尿管4～6周，定期门诊随访，必要时再行尿道扩张，比较患者术前、术后排尿及尿流率情况。结果所有患者手术均成功，平均手术时间（40.16±5.78）min。全部患者拔除尿管后排尿情况均较术前明显改善，术后门诊随访并定期返院进行尿道扩张至少6周，平均随访时间（34.75±6.42）周。所有患者术后尿道扩张期间排尿通畅，无尿失禁、性功能进行性减退及其他并发症。结论肾镜联合S形尿道扩张器进行尿道狭窄扩张具有可操作性强、创伤小、成功率高、安全等优点，值得推荐。
목적：탐토신경연합S형뇨도확장기치료남성뇨도협착적림상료효。방법이용신경직시하장반마도사치입방광，도사인도하통과S형뇨도확장기진행뇨도확장치료남성뇨도협착41례，술후류치규효뇨관4～6주，정기문진수방，필요시재행뇨도확장，비교환자술전、술후배뇨급뇨류솔정황。결과소유환자수술균성공，평균수술시간（40.16±5.78）min。전부환자발제뇨관후배뇨정황균교술전명현개선，술후문진수방병정기반원진행뇨도확장지소6주，평균수방시간（34.75±6.42）주。소유환자술후뇨도확장기간배뇨통창，무뇨실금、성공능진행성감퇴급기타병발증。결론신경연합S형뇨도확장기진행뇨도협착확장구유가조작성강、창상소、성공솔고、안전등우점，치득추천。
Objective To evaluate the clinical value of the combination of S-shaped urethral dilator and nephro-scope for the treatment of male urethral stricture disease. Methods Guidewires were inserted into bladder through the nephroscope under direct vision. The urethral dilation with S-shaped urethral dilator was carried out by nephroscope in 41 male patients. All catheters were located across the strictures and remained for 4-6 weeks. The regular follow-up was done on all cases to assess the clinical effect on urine flow. Results All surgeries were successful without serious complications. The mean operative time was (40.16 ± 5.78) min. The voiding symptoms were significantly improved after catheter removal compared with those of preoperation in all cases. Patients were followed up after surgery and were regularly urethral dilation at least 6 weeks. The mean follow-up time was (34.75±6.42) weeks.There were incontinence, diminished sexual function and other complications after operation in all cases. Conclusion Nephroscope combined with S-shaped urethral dilator for the treatment of male urethral stricture disease is feasible, minimally invasive and safe, which is worthy of recommendation.