冷刀切开术后直视下尿道扩张治疗男性尿道狭窄的疗效观察

摘要

目的：探讨尿道冷刀内切开联合直视下尿道扩张治疗男性尿道狭窄的疗效.方法：回顾性分析回45例用冷刀内切开联合直视下尿道扩张治疗尿道狭窄病例的临床资料.结果：45例患者均手术成功，术后排尿通畅，尿流率 l4~20 ml/s.再次出现狭窄1例，再次行冷刀内切开后，排尿通畅.无大出血、尿道穿孔、尿失禁等严重并发症发生.结论：冷刀切开术后直视下尿道扩张治疗男性尿道狭窄具有操作简单、创伤小、并发症少、可重复使用、疗效可靠等优点，值得临床推广.%Objective:To investigate urethral cold knife cut in joint in urethral expansion treatment the curative effect of male urethral stricture. Method:Retrospectived analysis of 45 cases back with cold knife cut in joint in urethral expansion treatment of urethral stricture cases clinical material. Result:45 patients’ operation were all successful,postoperative micturition unobstructed,urinary flow rate was l4 ~ 20 ml/s. Narrow appear again was 1,again in line cold knife cut,good voiding.No massive hemorrhage,perforation,urinary incontinence,etc serious complications occurred.Conclusion:After internal urethrotomy in urethral expansion treat male urethral stricture is characterized by simple operation,small trauma,less complications, reusable,curative effect and reliable,it is worth clinical promotion.