CAJ | 학술논문

目的：探讨尿道狭窄术后反复行尿道扩张治疗的临床疗效。方法：142例各类尿道狭窄患者，将其中尿道狭窄术后排尿症状无改善患者分为再次行手术治疗或反复行尿道扩张组，随访1~3个月分析比较2组的临床疗效。结果：术后排尿症状无改善者42例，其中27例再次行手术治疗，21例症状明显改善；15例行反复尿道扩张，5例症状改善；再次行手术治疗组与反复行尿道扩张组比较，差异有统计学意义(P<0.01)。结论：反复尿道扩张对尿道狭窄术后尿线变细症状有一定改善，但对于手术效果不满意、术后再次狭窄的治疗并无明显疗效。
목적：탐토뇨도협착술후반복행뇨도확장치료적림상료효。방법：142례각류뇨도협착환자，장기중뇨도협착술후배뇨증상무개선환자분위재차행수술치료혹반복행뇨도확장조，수방1~3개월분석비교2조적림상료효。결과：술후배뇨증상무개선자42례，기중27례재차행수술치료，21례증상명현개선；15례행반복뇨도확장，5례증상개선；재차행수술치료조여반복행뇨도확장조비교，차이유통계학의의(P<0.01)。결론：반복뇨도확장대뇨도협착술후뇨선변세증상유일정개선，단대우수술효과불만의、술후재차협착적치료병무명현료효。
Objective: To determine the therapeutic effect of regular urethral dilatation on patients with postoperative urethral stricture. Methods: A total of 142 patients underwent urethral stricture. The unimproved patients after the surgery were divided into a reoperation group and a regular urethral dilatation group. All the patients were followed up for 1-3 months, and the curative effect was compared. Results: Of the 142 patients, 42 had no improvement and 27 of them had reoperation, and symptoms in 21 were improved. Another 15 patients received regular urethral dilatation, and 5 improved. hTere was signiifcant difference between the 2 groups (P<0.01). Conclusion: Regular urethral dilatation has some effect on postoperative patients, but no obvious effect on patients with dissatisifed operation for urethral stricture or restenosis.