| 摘要: |
| 目的观察应用膀胱软镜双窥镜法冷刀内切开治疗尿道闭锁的初期疗效。方法2007年9月至2010年4月,对8例尝试逆行内切开术无法通过尿道闭锁段的患者(闭锁段长度0.8～2.0 cm),应用膀胱软镜双窥镜法冷刀内切开治疗,观察初期疗效。结果8例患者应用膀胱软镜双窥镜法冷刀内切开治疗均获成功,手术时间15～30 min,平均(21±8) min。术后留置尿管4～6周,拔管后均排尿通畅,无尿失禁。8例患者均获随访,随访时间6～24个月\[(11±2)个月\],其中3例患者无需任何后续治疗,4例需行6～16次尿道扩张 |
| 关键词: 双窥镜法 膀胱软镜 尿道闭锁 冷刀内切开 |
| DOI：10.3724/SP.J.1008.2011.0734 |
| 投稿时间：2011-04-01修订日期：2011-06-12 |
| 基金项目: |
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| Antegrade-retrograde via flexible cystoscopy endoscopic urethrotomy with a cold knife for treatment of obliterative urethral stricture: an observation of clinical effectiveness |
| JI Jia-tao,YE Hua-mao,HOU Jian-guo,WANG Ai-guo,XIAO Liang,SUN Ying-hao* |
| (Department of Urology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China) |
| Abstract: |
| 【Abstract】Objective To report short-term follow-up on 8 patients with obliterative urethral stricture treated with the antegrade—retrograde via flexible cystoscopy urethrotomy with a cold knife． Methods From September 2007 to April 2010， 8 cases of obliterative urethral stricture underwent antegrade-retrograde via flexible cystoscopy endoscopic urethrotomy with a cold knife．The obliterative stricture was 0．8 to 2．0cm．Results The strictures of all patients were non－passable when using conventional retrograde urethrotomy．The antegrade—retrograde via flexible cystoscopy urethrotomy with a cold knife were successful in all cases.Mean operation time were 20 mins.Urethral catheter (F20-F22)was left in situ for 4-6 weeks．All patients were followed for 6-24 months (mean 1 8 months)．During the follow—up of 8 patients,3 patients had no stricture recurrence．Further intermittent urethral dilations(6-16 procedures) for 4 cases and second endoscopic urethrotomy for 1 case as stricture recurred 3 months after first treatment were mandated．Conclusions The antegrade—retrograde urethrotomy via flexible cystoscopy with a cold knife could be a viable and effective option for gaining access across strictures when traditional methods fail．Although all patients could be spared open surgery on first stage treatment，the long-term successful rate of this technique remains to be evaluated |
| Key words: Antegrade—retrograde Flexible cystocopy Urethral obliterative stricture |
