经尿道等离子柱状电极治疗创伤性后尿道狭窄

目的评价经尿道等离子柱状电极治疗创伤性后尿道狭窄的疗效。方法采用经尿道等离子柱状电极治疗创伤性后尿道狭窄、闭锁18例,并进行术后随访。结果18例手术均获成功。随访3～16个月。14例自行排尿通畅,Qmax（追大尿流率）14～26 ml/s。1例6个月复发行二次等离子柱状电极治疗痊愈。3例一年内定期尿道扩张。结论经尿道等离子柱状电极治疗创伤后尿道狭窄及闭锁,具有低温切割,瘢痕气化消除,并发症少,再狭窄少等优点,是治疗创伤性后尿道狭窄及闭锁的安全、有效的腔内手术方法。

Clinical study of internal urethrotomy for urethral stricture by plsamakinetic

Objective To evaluate the effect of internal urethrotomy with Plsamakinetic in treating urethral stricture. Methods 18patients were operated by internal urethotomy and occlude with bipolar plsamakinetic and followed up postoperatively. Results All patients were undergone internal urethrotomy successfully. patients were followed up for 3 to 16 months. 14 Patients of them had satisfactory voiding, and the max urine flow rate were 14-26 ml persecond. 1 patient was the cause of stricture,2endoscopes operated at 6 months,3 cases needed intermittent dilation. Conclusion Iinternal urethrotomy with Plasma kinetic has the of lower-temperature incising, less complications,few recurrent urethral stricture and should be considered as a new endoscopes surgery technique in urethral stricture and occlude therapy.