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目的探讨等离子柱状电极内切开治疗尿道狭窄方法及效果。方法回顾性分析等离子柱状电极内切开系统治疗31例尿道狭窄患者的临床资料。结果 31例患者中,30例患者一次性手术成功,手术时间15~60 min;1例需二次手术;随访6~20个月,25例术后无需常规尿扩,测得最大尿流率持续>15 ml/s,6例需定期尿扩。结论运用等离子柱状电极内切开治疗尿道狭窄,具有低温切割、掌握容易、手术时间短、术中出血少、术后尿道再狭窄机会少等优点,值得临床推广与应用。
Objective To investigate the method and effect of plasma columnar electrode incision in treating urethral stricture. Methods The clinical data of 31 patients with urethral stricture treated by plasma columnar electrode incision system were retrospectively analyzed. Results Among the 31 patients, 30 patients underwent one-time operation, the operation time was 15-60 min, one patient needed secondary surgery, and the follow-up ranged from 6 to 20 months. The maximal uroflow rate Continuous> 15 ml / s, 6 patients need regular urinary expansion. Conclusions The use of plasma columnar electrode for the treatment of urethral stricture, with the advantages of low temperature cutting, easy to grasp, short operative time, less intraoperative bleeding and less postoperative urethral restenosis, is worthy of clinical application and promotion.