目的探讨尿道内切开治疗尿道狭窄的效果及可行性。方法直视下对28例尿道狭窄患者采用截石位3、9、12点放射状尿道内切开术治疗,其中5例结合电切术治疗。结果25例排尿通畅,22例一次手术成功,2例二次内切开,1例改行开放手术治疗。结论尿道内切开手术治疗尿道狭窄效果好、创伤小,是治疗尿道狭窄的首选方法,且二次内切开具有可行性。 Objective To investigate the effect and feasibility of urethral incision in the treatment of urethral stricture. Methods Under direct vision, 28 cases of urethral stricture were treated by radial urethrotomy with 3,9,12 points of lithotomy, of which 5 cases were treated with electrosurgical excision. Results Twenty-five patients had urinary tract obstruction. One operation was successful in 22 patients. Two patients underwent second internal incision and one patient underwent open surgery. Conclusions Urethral incision is effective in treating urethral stricture and has less trauma. It is the first choice for the treatment of urethral stricture, and the feasibility of secondary incision is feasible.