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目的探讨泌尿外科术后尿道狭窄的原因、预防及治疗。方法分析24例泌尿外科术后致尿道狭窄患者的临床资料。结果在尿道会师术后有11例,而前列腺摘除术后有9例,同时尿道前列腺切除术后有4例。尿道的术后狭窄与术中操作不当,术后牵引不到位,留置尿管及尿道扩张重视不够以及尿路感染有关。24例中18例行冷刀内切开术+瘢痕电切术,术后尿道扩张;6例单纯行尿道扩张。随访排尿均满意。结论术中防止尿道损伤,操作正确,彻底止血,术后有效使用抗生素、留置尿管及定期尿道扩张均可预防尿道狭窄。腔内治疗痛苦小、安全而且操作简便,并发症少,疗效确切。
Objective To investigate the causes, prevention and treatment of urethral stricture after urological surgery. Methods Clinical data of 24 patients with urethral stricture after urological surgery were analyzed. Results In the urethra after surgery there are 11 cases, while after prostatectomy in 9 cases, at the same time, there are 4 cases after urethral resection of the prostate. Postoperative urethral stricture and intraoperative improper operation, traction is not in place, indwelling urethral and urethral dilatation attention and urinary tract infection related. Among the 24 cases, 18 cases underwent cold knife endotracheal incision and scar excision. The urethral dilatation was performed in 6 cases. Simple urethral dilatation was performed in 6 cases. Follow-up urination are satisfied. Conclusion Intraoperative urethral injury prevention, correct operation, complete hemostasis, effective use of antibiotics, indwelling urethral catheter and regular urethral dilatation can prevent urethral stricture. Endoluminal treatment of pain is small, safe and easy to operate, fewer complications, the exact effect.