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目的:探讨棒状水囊扩张导管治疗男性尿道狭窄的临床疗效。方法:对收治的36例男性尿道狭窄患者根据狭窄的段长度分组,其中短段组(狭窄长度≤1cm)17例,长段组19例(狭窄长度>1cm),先行尿道镜下冷刀切开狭窄段,随后采用棒状水囊导管扩张治疗。结果:所有患者手术均顺利,无严重并发症。短段组治愈率100%(17/17),长段组治愈率73.7%(14/19),组间差异有统计学意义(P<0.05)。平均随访15个月,短段组在术后尿流率及复发率方面均优于长段组。结论:棒状水囊扩张导管治疗男性尿道狭窄的疗效较好,尤其适用于狭窄段长度在1cm以内者。
Objective: To investigate the clinical efficacy of rod-shaped balloon dilatation catheter in the treatment of male urethral stricture. Methods: Thirty-six patients with urethral stricture were divided into two groups based on the length of the stenosis: 17 cases in the short segment (stenosis ≤1 cm) and 19 in the long segment (stenosis> 1 cm in length) Open a narrow section, followed by rod-shaped balloon catheter dilation treatment. Results: All the patients were operated smoothly with no serious complications. The cure rate of short segment group was 100% (17/17), while that of long segment group was 73.7% (14/19). The difference between the two groups was statistically significant (P <0.05). After an average follow-up of 15 months, the short-term group was superior to the long-term group in postoperative urinary flow rate and recurrence rate. Conclusion: The treatment of male urethral stricture with rod-shaped balloon dilatation catheter has a good curative effect, especially for those with a length of less than 1 cm.