摘要
目的 探讨输尿管镜在治疗尿道狭窄中的作用及价值。方法 采用镜鞘一体硬输尿管镜寻找尿道真道 ,扩张狭窄部位 ,留置尿道标识 ,结合尿道镜及电切镜行尿道内切开和 /或尿道瘢痕组织切除 ,留置导尿管。拔导尿管后用镜体直视下尿道扩张治疗尿道狭窄 2 6例。结果 2 5例留置导尿管成功。 2 4例恢复正常排尿 ,2例失败 ,1例改为开放性手术治愈 ,1例因术后再次狭窄行耻骨上膀胱造瘘。结论 输尿管镜能显著提高尿道狭窄腔内治疗的治愈率 。
Objective To explore the role and clinical value of ureteroscope in the treatment of urethrostenosis.Methods Ureteroscope was used in the treatment of 26 cases of urethrostenosis to find out the right leading direction,dilate the stenosis site and trmain the urethral label.The stenosis site was cut open and urethral catheters were remained.After operation,ureteroscope was used in urethral dilation.Results Twenty-five cases had successful urethral catheter indwelling during operation,24 cases could micturate normall and 2 cases failed.Conclusion Ureteroscopy can increase the curate rate in the treatment of urethrostenosis.
出处
《临床外科杂志》
2005年第2期114-115,共2页
Journal of Clinical Surgery
关键词
输尿管镜
尿道狭窄
ureteroscope
urethrostenosis
