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目的:探讨输尿管镜联合等离子切割技术治疗男性创伤性尿道狭窄的临床疗效。方法:联合应用输尿管镜内切开技术及经尿道瘢痕等离子切割治疗男性创伤性尿道狭窄11例,其中前尿道狭窄7例,后尿道狭窄4例,并对临床资料进行回顾性分析。结果:11例腔内手术1次成功,术后排尿通畅,无尿失禁、尿瘘;其中3例于术后2～5个月时发生不同程度的尿流变细,经尿道扩张后尿流恢复至术后状态。结论:输尿管镜联合等离子切割技术治疗男性创伤性尿道狭窄疗效满意,安全性好,远期疗效稳定。
Objective: To investigate the clinical efficacy of ureteroscopic combined with plasma cutting in the treatment of traumatic urethral stricture in men. Methods: 11 cases of male traumatic urethral stricture were treated with ureteroscopic open incision technique and transurethral scar plasma incision, including 7 cases of anterior urethral stricture and 4 cases of posterior urethral stricture. The clinical data were retrospectively analyzed. Results: In 11 cases, the operation of one cavity was successful and the postoperative urination was smooth without urinary incontinence and urinary fistula. Among them, 3 cases developed varying degrees of urinary flow thinning at 2 ~ 5 months postoperatively, urinary flow resumed after transurethral dilation To the postoperative state. Conclusions: Ureteroscopy combined with plasma-based cutting is effective in treating traumatic urethral stricture in men and has good safety and long-term curative effect.