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目的:探讨经尿道手术治疗尿道狭窄与闭锁的临床效果。方法:对52例尿道狭窄与闭锁患者采用经尿道内切开加电切术手术治疗。患者平均年龄44.68岁,病程1个月-25年,尿道狭窄与闭锁长度平均为1.2 cm。结果:52例中手术成功43例(82.69%%),其中一次手术成功33例,二次手术成功8例,三次手术成功2例,手术失败9例,其中7例改为开放手术,失败原因主要为假道形成或狭窄段太长。术后48例随访2-24个月,平均13 个月。骨盆骨折致后尿道狭窄9例,感染性尿道狭窄5例,前尿道狭窄3例,术后1周-6个月需进行尿道扩张,其余35例(67.31%)排尿通畅。结论:经尿道手术治疗尿道狭窄与闭锁安全、有效,可作为首选治疗方法。术后尿道扩张是防止再狭窄的重要手段。
Objective: To investigate the clinical effect of transurethral surgery for urethral stricture and atresia. Methods: 52 cases of urethral stricture and atresia were treated by transurethral resection and electrosurgical excision. The average age of patients was 44.68 years, duration of 1 month to 25 years, the average length of urethral stricture and atresia was 1.2 cm. Results: Of the 52 cases, 43 cases were successful (82.69%), of which 33 cases were successful in one operation, 8 cases were successful in the second operation, 2 cases were successful in three operations, 9 cases failed in operation, and 7 cases were replaced by open operation. Mainly for the formation of false passage or narrow section is too long. 48 cases were followed up for 2-24 months, an average of 13 months. Pelvic fracture caused urethral stricture in 9 cases, infectious urethral stricture in 5 cases, anterior urethral stricture in 3 cases, 1 week to 6 months after urethral dilation required, and the remaining 35 cases (67.31%) voided. Conclusion: Transurethral surgery for the treatment of urethral stricture and atresia is safe and effective, which may be the first choice of treatment. Postoperative urethral dilatation is an important measure to prevent restenosis.