论文部分内容阅读
目的探讨经尿道外口逆行导丝置入失败后,经耻骨上造瘘口顺行置入导丝引导逆行尿道扩张治疗尿道成形术后早期狭窄的可行性及安全性。方法对13例逆行导丝置入失败的尿道成形术后早期狭窄患者经耻骨上造瘘口置入膀胱软镜,经膀胱软镜将斑马导丝穿过尿道狭窄段,引导扩张鞘行逆行扩张。结果 13例均获成功,平均操作时间为(10.7±3.18)min(8~17 min),无严重并发症发生。结论顺行导丝引导逆行尿路扩张是治疗尿道成形术后早期狭窄的安全有效的方法。
Objective To investigate the feasibility and safety of transurethral retrograde guide wire insertion failure after initial transurethral urethral dilatation via the supra-pubic implants into guidewire to treat early stenosis after urethroplasty. Methods Thirteen patients with early stenosis after retrograde guide wire failed urethroplasty were treated with bladder soft mirror through the supra-pubogenic stoma. The zebra guidewire was inserted through the urethral stricture by cystoscope to guide the dilated sheath to retrograde dilatation . Results All the 13 cases were successful. The average operation time was (10.7 ± 3.18) min (8-17 min). No serious complication occurred. Conclusion Anterograde guidewire guided retrograde urinary tract expansion is a safe and effective method for the treatment of early stenosis after urethroplasty.