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经尿道等离子体杆状电极电切治疗尿道狭窄和闭锁27例
引用本文:李应忠,王健,杨华,佟发春,李健,陈频,靳丕东.经尿道等离子体杆状电极电切治疗尿道狭窄和闭锁27例[J].中国内镜杂志,2007,13(11):1184-1185,1188.
作者姓名:李应忠  王健  杨华  佟发春  李健  陈频  靳丕东
作者单位:云南省玉溪市人民医院泌尿外科,云南,玉溪,653100
摘    要:目的探讨经尿道等离子体杆状电极电切治疗尿道狭窄和闭锁的安全性和有效性,提高手术技巧。方法2005年8月~2006年8月应用等离子体杆状电极电切治疗27例男性尿道狭窄和闭锁,患者年龄16~72岁,平均38岁,其中骨盆骨折所致12例,会阴部骑跨伤所致8例,长期留置尿管致炎性狭窄3例,经尿道前列腺电切术后尿道狭窄2例,尿道结石引起尿道狭窄2例。狭窄部位及长度:后尿道狭窄19例,前尿道狭窄3例,后尿道狭窄合并前尿道狭窄2例,后尿道闭锁3例。狭窄长度0.6~4.0cm,平均1.8cm。结果26例手术1次成功,1例因骨盆骨折致尿道断裂在外院行尿道会师术,术后尿道狭窄反复扩张尿道,伴有严重瘢痕和假道形成,3次手术成功,全组1次手术成功率96.3%(26/27)。随访3~12个月,27例患者排尿均通畅,无性功能障碍和尿失禁。结论经尿道等离子体杆状电极电切治疗尿道狭窄和闭锁是安全和有效的,可作为治疗尿道狭窄的首选方法。

关 键 词:等离子体双极电切  尿道狭窄  腔内泌尿外科
文章编号:1007-1989(2007)11-1184-02
收稿时间:2007-02-08
修稿时间:2007年2月8日

Endourethral surgery for urethral stricture and occlusion using bipolar plas makinetic technique with band-form electrode(a report of 27 cases)
LI Ying-zhong,WANG Jian,YANG Hua,DONG Fa-chun,LI Jian,CHEN Pin,JIN Pi-dong.Endourethral surgery for urethral stricture and occlusion using bipolar plas makinetic technique with band-form electrode(a report of 27 cases)[J].China Journal of Endoscopy,2007,13(11):1184-1185,1188.
Authors:LI Ying-zhong  WANG Jian  YANG Hua  DONG Fa-chun  LI Jian  CHEN Pin  JIN Pi-dong
Abstract:Objective] To investigate the efficacy and safety of endourethral surgery for posterior urethral stricture and occlusion using bipolar plas makinetic technique,and to improve the skill of endourethral surgery.Methods] Bipolar plas makinetic technique was carried out on 27 male patients(age range,16 to 72 years,mean age 38 years)with urethral stricture and occlusion.Of them,12 form pelvis fracture,8 cases form straddle injury of urethra,3 cases form long-term catherization,2 cases form transurethral electro-resection of prostate,and 2 cases form urethra calculus.19 cases were posterior urethral stricture,3 cases were anterior urethral stricture,posterior urethral stricture with anterior urethral stricture were 2 cases.and urethral occlusion were 3 cases.The length of the stricture ranged from 0.6 to 4.0 cm with amean of 1.8 cm.Results] All the patients were treated successfully,Among the 27 patients,the curative rate in this series was achieved to 96.3%(26/27)by once;1 case underwent 3 endourethral surgical treatment due to serious urethral stricture.All the patients were followed up from 3 to 12 months,no postoperative sexual dysfunction and uroclepsia and they had normal urination.Conclusions] Endoscopic operation with plao-makinetic technique is believed to be the first choice and safe and efficient means for urethral stricture and occlusion.
Keywords:bipolar electrocautery  urethral stricture  endosccope
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