尿道狭窄或闭锁的治疗(附154例报告)

目的　提高尿道狭窄或闭锁的治疗效果。　方法　尿道狭窄或闭锁者共 15 4例 ,前尿道狭窄或闭锁 4 0例 ,后尿道狭窄或闭锁 114例 ,发病原因 :外伤性 10 6例 ,炎症性 15例 ,医原性 33例。行开放手术 34例 ,腔内手术 12 0例。　结果　 4 0例前尿道狭窄或闭锁者中行开放手术 18例 ,腔内手术 2 2例 ,均成功。随访 6个月～ 1年 ,均排尿通畅。 114例后尿道狭窄或闭锁者中行开放手术 16例 ,术后排尿通畅者 10例 ,排尿困难或不能排尿者 6例 ,尿道造影显示尿道狭窄 ;腔内手术 98例。术后排尿通畅 92例 ,排尿困难或不能排尿 5例 ,尿道造影显示尿道狭窄。　结论　对前尿道狭窄或闭锁者的治疗 ,开放和腔内手术效果均好 ;后尿道狭窄或闭锁 ,首选腔内手术。

Treatment of urethral stricture and occlusion(report of 154 cases)

Objective To make the surgical therapy of urethral stricture and occlusion more effective. Methods 154 patients treated in our hospital were included in this retrospective study,of these cases,40 cases were in anterior urethra and 114 in posterior part.Based on etiology,106 cases were from trauma,15 from infection and 33 from idiopathic causes.Open surgery was performed on 34 cases and endoscopic therapy on 120 cases. Results All of the anterior urethral cases were treated successfully,among them,18 cases were with open surgery and 22 with endoscopic surgery.Normal urination was achieved on the follow-up from 6 months to 12 months.Within posterior urethral stricture and occlusion situation,open surgery was in 16 cases with 10 cases of normal urination and endoscopic surgery in 98 cases with 92 cases of normal urination.6 cases with open surgery and 5 cases with endoscopy resulted in postoperative dysuria or anuria.Urethral stricture and occlusion were shown in all these unsuccessful operation according to our urethrogram. Conclusions Good result can be achieved by both open and endoscopic surgery in anterior urethral stricture.In case of posterior urethral condition,endoscopic procedure is the best choice.