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目的探讨筋膜扩张器在男性尿道狭窄治疗中的临床价值。方法回顾性分析29例用筋膜扩张器治疗的尿道狭窄男性患者的临床资料,探讨筋膜扩张器在尿道狭窄治疗中的应用适应征及影响预后的因素。29例患者,狭窄位于阴茎部尿道8例、球部尿道9例、膜部尿道6例、前列腺部尿道6例。先用输尿管镜探查尿道,在直视下放入斑马导丝,再用筋膜扩张器沿导丝循序扩张尿道。结果 29例患者均用筋膜扩张器成功扩张,未出现并发症。28例获得随访,其中2例出现狭窄复发。结论对男性尿道狭窄用筋膜扩张器行尿道扩张简单、安全、有效、损伤小的方法;减少了并发症,并可为进一步腔内治疗创造条件,但对狭窄段过长,病变严重,尿道情况不明确的患者宜选用其他方法治疗。
Objective To investigate the clinical value of fascia dilator in the treatment of male urethral stricture. Methods The clinical data of 29 male patients with urethral stricture treated with fascia dilator were retrospectively analyzed. The application of fascia dilator in the treatment of urethral stricture and the factors influencing the prognosis were discussed. Twenty-nine patients were stenosed in 8 cases of penile urethra, 9 cases of bulbous urethra, 6 cases of membranous urethra and 6 cases of prostatic urethra. Ureteroscopy with ureteroscopy, under direct vision into the zebra guide wire, and then fascia dilator along the guide wire to sequentially expand the urethra. Results All the 29 patients were successfully expanded with fascia dilator without any complications. Twenty-eight patients were followed up, of which two had recurrent stenosis. Conclusions The fascia dilator for urethral stricture is a simple, safe and effective method for the urethral dilatation. It can reduce the complications and create the conditions for further endovascular treatment. However, the stricture is too long and the pathological changes are serious. The urethra Patients with ambiguous conditions should choose other methods of treatment.