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目的 :探索输尿管镜在尿道狭窄或闭锁的尿道内切开术治疗中的作用。方法 :采用输尿管镜直视下寻找正确引导方向 ,利用其镜体的扩张结合其他内窥镜切割术切开狭窄或闭锁段 ,术后留置导尿管和适当尿道扩张治疗尿道狭窄或闭锁 2 5例。结果 :2 5例均获随访 ,2 0例排尿正常 ,治愈率 80 % ;失败 5例 ,均改为开放手术治愈 ;2例发生尿外渗。结论 :在尿道狭窄或闭锁的尿道内切开治疗中 ,输尿管镜可增加治疗的成功率 ,尤其对小儿病例更是如此。
Objective: To explore the role of ureteroscopy in urethral incision of urethral stricture or atresia. Methods: Ureteroscopy was used to look for the correct guiding direction, to use the expansion of the scope in combination with other endoscopic sutures to cut the stenosis or atresia segment, to keep urethral catheter and appropriate urethral dilatation for the treatment of urethral stricture or atresia. example. Results: Twenty-five cases were followed up. 20 cases were normal urination and the cure rate was 80%. Five cases failed. All cases were cured by open surgery. Urinary extravasation occurred in 2 cases. Conclusions: Ureteroscopy increases the success rate of treatment in urethral stricture or atresia incision, especially in pediatric cases.