尿道狭窄术后反复尿道扩张的临床疗效

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。

Therapeutic effect of regular urethral dilatation on patients with postoperative urethral stricture

Objective: To determine the therapeutic effect of regular urethral dilatation on patients with postoperative urethral stricture. Methods: A total of 142 patients underwent urethral stricture. The unimproved patients after the surgery were divided into a reoperation group and a regular urethral dilatation group. All the patients were 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 symptoms in 21 were improved. Another 15 patients received regular urethral dilatation, and 5 improved. There was significant difference between the 2 groups (P<0.01). Conclusion: Regular urethral dilatation has some effect on postoperative patients, but no obvious effect on patients with dissatisfied operation for urethral stricture or restenosis.