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采用窥镜下尿道内切开术治疗8例伴有假道的尿道狭窄患者,结果6例尿道狭窄口径明显增大,2例0.5年后尿道狭窄复发,经尿道内切开加瘢痕组织电切后排尿通畅;所有患者尿道能通过F_(20~24)尿道探,最大尿流率>15ml/s;3例已2年未行尿道扩张,5例仍需定期扩张尿道。并就假道的判断、识别、尿道切开点的选择、切开方法及插管注意事项等进行了讨论,认为只要术前能明确诊断,掌握切开要领,大多数伴有假道的尿道狭窄患者采用本术式均能获得成功,而对于假道深度达2.5cm以上且尿道瘢痕较多者,采用此术应特别慎重。
Under endoscopic urethral incision in the treatment of urethral strictures in 8 patients with false passage, the results of 6 cases of urethral stricture increased significantly, 2 cases of urethral stricture recurrence after 0.5 years, transurethral incision plus scar tissue Urethral unobstructed after electrotomy; all patients urethral exploration through F_ (20 ~ 24) urethral exploration, the maximum flow rate> 15ml / s; 3 cases have not urethral dilation in 2 years, 5 cases still need to regularly expand the urethra. And the fake judgment, identification, urethral incision point selection, incision method and intubation precautions were discussed, as long as the preoperative diagnosis can be a clear grasp of the essentials of incision, most of the false urethra Narrow patients using this technique can be successful, and for the depth of false passage up to 2.5cm and more urethral scar, the use of this technique should be particularly cautious.