输尿管镜下等离子柱状电极联合筋膜扩张器治疗尿道狭窄的临床研究

摘要

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.%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。