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目的:探讨直视下尿道冷刀内切开术联合尿道扩张治疗尿道狭窄的疗效。方法:36例尿道狭窄患者,均接受直视下尿道内切开术联合留置尿管治疗,现对其临床资料进行回顾性分析。结果:36例中,32例一次手术成功,4例行二次手术成功。36例患者中34例获随访6～24个月,平均15个月,5例排尿通畅,27例行尿道扩张后排尿通畅,2例术后3～4个月再次因尿道狭窄行开放手术。结论:直视下尿道内冷刀切开术联合尿道扩张治疗尿道狭窄疗效是肯定的,但远期疗效尚待长期观察。
Objective: To investigate the curative effect of urethral cold knife incision combined with urethral dilation in the treatment of urethral stricture. Methods: Thirty-six patients with urethral stricture underwent direct urethrotomy combined with indwelling catheterization, and their clinical data were retrospectively analyzed. Results: Among the 36 cases, 32 cases were successful in one operation and 4 cases were successful in the second operation. Thirty-four of 36 patients were followed up for 6-24 months with an average of 15 months. Five patients had smooth voiding, 27 patients had urethral drainage after urethral dilatation, and two patients underwent open surgery again for urethral stricture 3 to 4 months after operation. Conclusions: The direct urethral cold knife incision combined urethral dilation in the treatment of urethral stricture is positive, but long-term efficacy remains to be observed.