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目的 提高尿道狭窄或闭锁的治疗效果。 方法 尿道狭窄或闭锁者共 15 4例 ,前尿道狭窄或闭锁 4 0例 ,后尿道狭窄或闭锁 114例 ,发病原因 :外伤性 10 6例 ,炎症性 15例 ,医原性 33例。行开放手术 34例 ,腔内手术 12 0例。 结果 4 0例前尿道狭窄或闭锁者中行开放手术 18例 ,腔内手术 2 2例 ,均成功。随访 6个月～ 1年 ,均排尿通畅。 114例后尿道狭窄或闭锁者中行开放手术 16例 ,术后排尿通畅者 10例 ,排尿困难或不能排尿者 6例 ,尿道造影显示尿道狭窄 ;腔内手术 98例。术后排尿通畅 92例 ,排尿困难或不能排尿 5例 ,尿道造影显示尿道狭窄。 结论 对前尿道狭窄或闭锁者的治疗 ,开放和腔内手术效果均好 ;后尿道狭窄或闭锁 ,首选腔内手术。
Objective To improve the treatment of urethral stricture or atresia. Methods A total of 154 cases of urethral stricture or atresia, 40 cases of anterior urethral stricture or atresia, 114 cases of posterior urethral stricture or atresia. The causes were trauma 106 cases, inflammatory cases 15 cases and iatrogenic cases 33 cases. 34 cases underwent open surgery and 12 cases underwent endovascular surgery. Results of 40 cases of anterior urethral stricture or atresia were open surgery in 18 cases, 22 cases of endovascular surgery, were successful. Follow-up of 6 months to 1 year, voiding patency. 114 cases of posterior urethral stricture or atresia open surgery in 16 cases, postoperative voiding in 10 cases, dysuria or urination in 6 cases, urethral stricture showed urethral stricture; 98 cases of intracavitary surgery. Postoperative urinary tract patency 92 cases, dysuria or urination in 5 cases, urethroscopy showed urethral stricture. Conclusion The treatment of anterior urethral stricture or atresia, open and intraluminal surgery are good results; posterior urethral stricture or atresia, the preferred endovascular surgery.