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目的:探讨后尿道狭窄并发医源性尿道假道的诊断及治疗方法。方法:对8 例后尿道狭窄并发尿道假道患者均采用尿道造影及尿道 B超检查;除 1 例行直视下尿道内切开加 T U R 术外,余 7 例均行开放性手术治疗。结果:7 例为强行尿道扩张所致,1 例为不正规膀胱镜操作所致。8 例经开放性手术或腔内治疗均获成功。结论:经尿道 B超诊断尿道假道优于尿道造影,而开放性手术治疗更多的是选择旷置假道的手术方式。
Objective: To investigate the diagnosis and treatment of iatrogenic urethra false posterior urethral stricture. Methods: Eight cases of posterior urethral stricture complicated with urethral false patients were examined by urethroplasty and urethral ultrasonography; except for one under direct urethrotomy plus T U R, more than 7 cases underwent open surgery . Results: 7 cases were due to forced urethral dilatation, 1 case was due to irregular cystoscopy. 8 cases were successfully treated by open surgery or endovascular treatment. Conclusions: Transurethral ultrasonography is superior to urethroplasty in diagnosing urethral anomalies, whereas open surgical treatment is more of a surgical method of selecting excavated orifices.