内镜微创治疗尿道狭窄或闭锁46例

目的观察内镜微创治疗尿道狭窄或闭锁的疗效。方法经尿道输尿管硬镜下或尿道膀胱镜下或电切镜下，或者多镜联合下，采用等离子棒状电极或钬激光行尿道内切开，酌情加用尿道瘢痕电切术治疗尿道狭窄或闭锁46例，对其手术疗效及操作要点进行回顾性分析和总结。结果42例一次手术成功，3例行2次腔内手术，1例手术失败。术后1-6周后拔出尿管，排尿通畅，尿线粗，最大尿流率由术前1.6-9.5mL/s升至18-31.5mL／s。42例随访8月-3年，平均32个月，36例排尿通畅，6例行尿道扩张2-6次后排尿良好。结论内镜微创治疗尿道狭窄或闭锁，损伤小，并发症少，成功率高，可作为治疗尿道狭窄或闭锁的首选方式。

Endoscopic Treatment of 46 Cases With Urethral Stricture and Atreturethria

Objective To evaluate the efficacy and safety of endoscopic treatment of urethral stricture and atreturethria. Methods The clinical data of 46 patients with urethral stricture and atreturethria who underwent Holmium laser combined with transurethral electronic incision were analyzed. Results Operation was performed successfully in 46 cases while 3 cases underwent the second endoscopic surgical treatments and 1 case failed. The mean maximum urinary flow rate was increased from 1.6-9.5 mL/s preoperatively to 18-31.5 mL/s postoperatively. 42 cases were followed up for 8-36 months while 4 received urethral dialation. Conclusions Endoscopic treatment has the advantages of mini-inva-sivemess, less complication, easy recovery. It can be considered as the first choice of treatment of urethral stricture and atreturethria.