CAJ | 학술논문

目的：探讨和总结筋膜扩张器联合输尿管镜、等离子柱状电极治疗尿道狭窄的可行性、安全性及治疗经验。方法选取我院2009年1月～2013年l2月应用筋膜扩张器联合输尿管镜、等离子柱状电极治疗36例尿道狭窄患者的临床资料；根据狭窄部位及长度分为两组：A组26例：狭窄长度＜2 cm、狭窄段内径＞3 F；B组10例：狭窄段长度＞2 cm、内径＜3 F，为管状、较长或多段狭窄或合并假道。结果患者拔尿管后排尿通畅，全组手术成功率80.56%（29／36），A组26例中23例手术一次成功，成功率88.5%（23/26）；B组10例中成功6例，成功率60%。结论筋膜扩张器联合输尿管镜、等离子柱状电极治疗尿道狭窄技术可行，疗效确切。
목적：탐토화총결근막확장기연합수뇨관경、등리자주상전겁치료뇨도협착적가행성、안전성급치료경험。방법선취아원2009년1월～2013년l2월응용근막확장기연합수뇨관경、등리자주상전겁치료36례뇨도협착환자적림상자료；근거협착부위급장도분위량조：A조26례：협착장도＜2 cm、협착단내경＞3 F；B조10례：협착단장도＞2 cm、내경＜3 F，위관상、교장혹다단협착혹합병가도。결과환자발뇨관후배뇨통창，전조수술성공솔80.56%（29／36），A조26례중23례수술일차성공，성공솔88.5%（23/26）；B조10례중성공6례，성공솔60%。결론근막확장기연합수뇨관경、등리자주상전겁치료뇨도협착기술가행，료효학절。
Objective To assess the efficacy and safety of bipolar plasmakinetic energy with an auxiliary ureteroscopy urethrotomy for urethral stricture. MethodsRetrospect the clinic treatment data from Jan 2009 to Dec 2013 of 36 male patients with urethral stricture being by bipolar plasmakinetic energy urethrotomy with an auxiliary ureteroscopy and fascia dilator. According to the internal diameter and length of urethral stricture,the internal diameter more than 3F were 26 patients(A group);The opposite partly received obliterative urethral strictures and false passage were 10 patients (B group).All patients were evaluated with urethrography and uroflowmetry.Results All patients can void smoothly after being pulled out the urinary tube. Total Success rate was 80.6%(29/36),Success rate of A group is 88.5% and B group is 60%.Conclusion Efficacy of bipolar plasmakinetic energy with an auxiliary ureteroscopy and fascia dilator urethrotomy for urethral stricture is confirmed and this methods deserve to be popularized.