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我们自１９８４年１月～１９９４年４月取经尿道电切术（ＴＵＲ）治疗２３例小儿严重尿道狭窄与闭锁病人。采用Ｆ１０～１５ＫａｒｌＳｔｏｒｚ尿道电切镜与内切开镜。前尿道狭窄者先采用经尿道内切开术或扩张术，然后将电切镜通过狭窄部切除全部尿道瘢痕组织。后尿道狭窄者切开膀胱或扩大造瘘口，插入电切镜切除瘢痕组织。平均随访４１．２个月均获成功。一次电切成功１７例，余者２或３次电切后成功。术后狭窄复发者５例，经反复电切成功。术中彻底切除瘢痕是手术成功的关键。本术可做为治疗小儿尿道狭窄或闭锁的首选治疗方法。
We performed transurethral resection (TUR) from January 1984 to April 1994 in 23 pediatric patients with severe urethral stricture and atresia. Using F10 ~ 15KarlStorz urethral resection and endoscopic open mirror. Before urethral stricture by transurethral incision or expansion, and then resectoscope through the stenosis resection of all urethral scar tissue. Posterior urethral stricture incision of the bladder or expanding stoma, cut into the resection of scar tissue. The average follow-up of 41.2 months were successful. A successful cut in 17 cases, the remaining 2 or 3 times after the successful cutting. Postoperative stenosis recurrence in 5 cases, after repeated successful cutting. Thorough resection of the scar surgery is the key to success. This technique can be used as treatment of pediatric urethral stricture or atresia preferred treatment.