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输尿管镜尿道探子联合应用治疗复杂性尿道狭窄
引用本文:刘德云.输尿管镜尿道探子联合应用治疗复杂性尿道狭窄[J].重庆医科大学学报,2007,32(6):648-649,653.
作者姓名:刘德云
作者单位:武警重庆总队医院泌尿外科,重庆,400061
摘    要:目的:探讨联合应用输尿管镜,自制尿道探子治疗尿道狭窄临床操作方法及其治疗效果.方法:骶麻醉下F9.8输尿管镜直视下将4F输尿管导管或特福龙涂层导丝通过狭窄段至膀胱,输尿管导管或特福龙涂层导丝穿入中空前开口尿道探子并引导扩张尿道至能留置14F尿管引流尿液.结果:1月后所有病例最终可留置22F尿管,拔管后排尿通畅,随访1年无复发.结论:联合应用输尿管镜尿道探子直视下置管,扩张,对病人损伤轻,打击小,恢复快,疗效佳,住院时间短,是一种治疗尿道狭窄的好方法.

关 键 词:复杂性尿道狭窄  输尿管镜  尿道扩张
文章编号:0253-3626(2007)06-0648-02
修稿时间:2006-12-05

The treatment of complex urethrostenosis by ureteroscope combined with urethral sound
LIU Deyun.The treatment of complex urethrostenosis by ureteroscope combined with urethral sound[J].Journal of Chongqing Medical University,2007,32(6):648-649,653.
Authors:LIU Deyun
Abstract:Objective:To discuss the operative procedure and clinical therapeutic efficacy of urethrostenosis treatment by ureteroscope combined with self-made urethral sound.Methods:4F ureteral catheter or Teflon paintcoat guidewire was passed through narrow section to bladder.the self-made,midheaven and ringent anterior urethral sound was inserted into by the ureteral catheter or Teflon paintcoat guidewire to expand that 14F ureteral catheter for drainge under F9.8 ureteroscope and sacral anesthesia.Results:All cases could be detained with 22F ureteral catheter and voided well afert 1 month of treatmeat,no relapse cases were observed after 1year follow-up.Conclusion:It is an micro-traumatic,quick healing with shorter hospitalization and effective method to treat urethrostenosis by ureteroscope combined with urethral sound.
Keywords:Complex Urethrostenosis  Ureteroscope  Urethral sounding
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