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尿道狭窄术后反复尿道扩张的临床疗效
引用本文:黎勇林,李东杰,陈志,黄亮,黄珂,周杰,高本敏,陈俊杰,唐正严. 尿道狭窄术后反复尿道扩张的临床疗效[J]. 中南大学学报(医学版), 2014, 39(7): 708-712
作者姓名:黎勇林  李东杰  陈志  黄亮  黄珂  周杰  高本敏  陈俊杰  唐正严
作者单位:中南大学湘雅医院泌尿外科,长沙 410008
基金项目:湖南省高新技术基本建设项目(湘发改高技[2012]1493号)。
摘    要: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。

关 键 词:尿道狭窄  尿道扩张  术后  临床疗效  

Therapeutic effect of regular urethral dilatation on patients with postoperative urethral stricture
Affiliation:Department of Urology, Xiangya Hospital, Central South University, Changsha 410008, China
Abstract:Objective: To determine the therapeutic effect of regular urethral dilatation on patients withpostoperative urethral stricture.Methods: A total of 142 patients underwent urethral stricture. The unimproved patients after thesurgery were divided into a reoperation group and a regular urethral dilatation group. All the patientswere 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 symptomsin 21 were improved. Another 15 patients received regular urethral dilatation, and 5 improved. Therewas significant difference between the 2 groups (P<0.01).Conclusion: Regular urethral dilatation has some effect on postoperative patients, but no obviouseffect on patients with dissatisfied operation for urethral stricture or restenosis.
Keywords:urethral stricture  urethral dilatation  postoperation  therapeutic effect  
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