国际泌尿系统杂志
國際泌尿繫統雜誌
국제비뇨계통잡지
INTERNATIONAL JOURNAL OF UROLOGY AND NEPHROLOGY
2014年
2期
175-177
,共3页
章益峰%郎根强%张炯%褚健%曹建伟
章益峰%郎根彊%張炯%褚健%曹建偉
장익봉%랑근강%장형%저건%조건위
尿道狭窄
尿道狹窄
뇨도협착
Urethral%Stricture
目的 探讨外伤性尿道狭窄的最佳手术方法,提高疗效.方法 采用尿道(冷刀)内切开术治疗尿道狭窄97例,采用尿道狭窄段切除端-端吻合术治疗尿道狭窄15例.结果 97例经尿道内切开治疗者手术成功率100%,15例尿道狭窄切除端-端吻合治疗者手术成功率93.3%.结论 对单纯尿道狭窄和可引导复杂性尿道狭窄,应首选尿道(冷刀)内切开术.尿道狭窄段切除端-端吻合术仍是复杂性尿道狭窄的可靠术式.
目的 探討外傷性尿道狹窄的最佳手術方法,提高療效.方法 採用尿道(冷刀)內切開術治療尿道狹窄97例,採用尿道狹窄段切除耑-耑吻閤術治療尿道狹窄15例.結果 97例經尿道內切開治療者手術成功率100%,15例尿道狹窄切除耑-耑吻閤治療者手術成功率93.3%.結論 對單純尿道狹窄和可引導複雜性尿道狹窄,應首選尿道(冷刀)內切開術.尿道狹窄段切除耑-耑吻閤術仍是複雜性尿道狹窄的可靠術式.
목적 탐토외상성뇨도협착적최가수술방법,제고료효.방법 채용뇨도(냉도)내절개술치료뇨도협착97례,채용뇨도협착단절제단-단문합술치료뇨도협착15례.결과 97례경뇨도내절개치료자수술성공솔100%,15례뇨도협착절제단-단문합치료자수술성공솔93.3%.결론 대단순뇨도협착화가인도복잡성뇨도협착,응수선뇨도(냉도)내절개술.뇨도협착단절제단-단문합술잉시복잡성뇨도협착적가고술식.
Objectives To present and evaluate the therapeutic effects of different methods for the management of urethral stricture.Methods Materials of 112 cases of patients with urethrostenosis were reviewed.Results 97 cases out of 112 were treated with endoscopic incision and the cure rate was 100% ; 15 cases were treated with excision of the area of fibrosis and a primary reanastomosis of the normal ends of the urethra,the effective rate being 94.7%.Conclusions If a urethral catheter or guided wire is passed through the stricture,internal urethrotony was believed to be the treatment of choice for urethrostenosis.Excision of the area of fibrosis and a primary reanastomosis of the normal ends of the urethra,which is the most reliable technique for the treatment of complex urethral stricture.