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目的探讨直视下尿道内切开及电切术治疗尿道狭窄的效果。方法对32例尿道狭窄患者用冷刀行3、9、12点放射状内切开,部分瘢痕严重者用电切镜切除瘢痕。结果9例一次手术成功,术后无需定期扩张;19例一次手术术后定期扩张3～6个月后治愈;3例6个月后再次行内切开治疗;1例冷刀切开3次后改用钬激光切除瘢痕。结论尿道内切开联合电切治疗尿道狭窄疗效确切、创伤小、并发症少,可作为尿道狭窄的首选治疗方法。
Objective To investigate the effect of under-urethrotomy and resection of urethra on the treatment of urethral stricture. Methods 32 cases of urethral stricture with cold knife row 3, 9, 12 points radial incision, some of the scar severe resection sclerectomy. Results Nine cases were successful in one operation. There was no need for regular postoperative expansion. Nineteen patients were cured after one to three months and six months after operation. Three patients were treated with open incision again 6 months later. Use holmium laser excision of the scar. Conclusions Urethral incision combined with electrotomy for the treatment of urethral stricture is effective and has less trauma and fewer complications. It can be used as the first choice for the treatment of urethral stricture.