肾筋膜扩张器在尿道狭窄治疗中的应用

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1、肾筋膜扩张器在尿道狭窄治疗中的应用袁源湖邹晓峰徐辉肖日海伍耿青王晓宁刘佛林江西赣州赣南医学院第一附属医院泌尿外科(赣州341000)【摘要】目的探讨肾筋膜扩张器在尿道狭窄治疗中的应用价值。方法应用肾筋膜扩张器对35例尿道狭窄患者行尿道狭窄扩张术：31例尿道未闭锁者直接留置斑马导丝，4例尿道闭锁者应用输尿管镜电切针刺切打通尿道后留置斑马导丝，循序用8F至22F肾筋膜扩张器扩张狭窄尿道。视狭窄悄况采用电切镜行电切修整。结果35例手术均成功，无假道形成。11例狭窄段较长或有较多瘢痕纟R织者加行经尿道电切修整。随访6〜42个月，均排尿良好，最人尿流率由治疗前1.6

2、000(4.80士3.20)ml/s±升至18.00、34.80(26.40±8.40)ml/s,B超检查膀胱无剩余尿。结论利用肾筋膜扩张器行尿道狭窄扩张术是安全、简便、有效的新方法，值得临床应用。【关键词】尿道狭窄治疗肾筋膜扩张器TheclinicalapplicationofrenalsheathdilatorstreatingontheurethrostenosisYuanYuan-hu,ZouXiao-feng,HuangMing,etal.DepartmentofUrology,theFirstAffiliatedHospitaiofGannan

3、MedicalCollegeJiangXi,Ganzhou341000Correspondingto:YuanYuan~huE-mail:yu&nyu&nhu@tom.coinTel:13033222839,(0797)8269508[Abstract】Objective:Toprobetheclinicalapplicationvalueoftherenalsheathdilatorsontreatmentoftheurethrostenosis.Methods:Thedilationof35casessufferingfromurethrostenos

4、iswereperformedwiththerenalsheathdilators:thezebrawirewerestentdirectlyin31caseswithnourethratresiawhilethezebrawirewerestentaftertheurethracutwiththeureterscopicelectrocauteryin4caseswithurethratresiathendilatedthestricturefollowingtherenalsheathdilatorsfrom8Fto22Fgraduallyandint

5、ernalurethrotomytransurethralscarelectrosectomywascarriedoutfinallyaccordingtothedegreeofthestricture・ResuIts:Of35cases,theoperationswereallperformedsuccessfullyandnourethralfalsepassage.Amongthem,11caseswithIongerstrictureormorescarstreatedbyinternalurethrotomytransurethralscarel

6、ectrosectomy.Al1thecaseswerefollowedupfrom6"42monthsandnodifficultyofurinationhappened,theQmaxwasincreasedfrom1.60~8.00(4.80士3.20)ml/sto1&00"34.80(26・40±8・40)ml/sandtherewerenoresidualurineconfirmedbytheB-ultrasonographytoo.Conclusion:Dilatedtheurethrostenosiswiththerenalsheathdil

7、atorswasbelievedtobeasafe,simpleandefficienttherapeuticnewmethodandshouldbepopularized.[Keywords]UrethrostenosisTherapyRenalsheathdilators尿道狭窄是泌尿外科的常见病，我院自2001年1刀~2005年12刀应用肾筋膜扩张器结合腔内泌尿外科技术治疗尿道狭窄35例，效果满意。现报告如下：—、对象与方法1.一燉资料：木组35例。均为男性；年龄2广76岁，平均45岁。病程「23个刀。狭窄原因：外伤性26例，经尿道前列腺电切术6例，

8、开放性前列腺手术2例，炎症性1例。狭窄部位：前尿道21例，其中尿道