论文部分内容阅读
目的探讨腔内手术治疗尿道狭窄与闭锁的治疗效果。方法回顾性分析尿道镜结合输尿管镜直视下手术治疗49例尿道狭窄与闭锁患者的临床资料。结果首次成功46例,术后随访8个月~4年,5例1~6个月再次发生尿道狭窄,二次内镜手术治愈,6~12个月后进行尿流动力学检查,最大尿流率均大于15 ml/s。结论尿道镜结合输尿管镜直视下手术治疗尿道狭窄与闭锁,提高了腔内手术的成功率,且具有创伤小、安全、有效等优点,正确选择适应证对提高手术成功率非常重要,对周围的瘢痕及活瓣组织进行彻底切除,有利于创面愈合,减少狭窄复发。
Objective To investigate the effect of endovascular treatment of urethral stricture and atresia. Methods The clinical data of 49 patients with urethral stricture and atresia treated with urethral endoscopy and ureteroscopy were analyzed retrospectively. Results The first successful in 46 cases, followed up for 8 months to 4 years, 5 cases 1 to 6 months urethral stricture again, secondary endoscopic surgery to cure, 6 to 12 months after urodynamic examination, the maximum flow Rates were greater than 15 ml / s. Conclusion Ureteroscopy combined with ureteroscopic surgery for the treatment of urethral stricture and atresia, to improve the success rate of intracavitary surgery, and has the advantages of small trauma, safety and effectiveness, the correct choice of indications to improve the success rate of surgery is very important to the surrounding Of the scar and flap tissue to be completely resected, is conducive to wound healing, reduce the recurrence of stenosis.