目的评价针状电极直视下尿道内切开治疗尿道狭窄的疗效。方法回顾性总结16例尿道狭窄患者采用针状电极直视下尿道内切开治疗尿道狭窄的经验。结果术后随访12～36个月,平均21个月。16例排尿通畅、满意。最大尿流率18～25ml/s,无尿道狭窄复发和尿失禁病例。手术成功率为100%。结论针状电极直视下尿道内切开具有操作简单、微创、出血少、并发症少、不需要特殊设备等优点,对﹤2cm的尿道狭窄可作为首选的治疗方法。 Objective To evaluate the efficacy of acupuncture with urethral incision in the treatment of urethral stricture. Methods A retrospective review of 16 cases of urethral stricture using needle electrodes under direct urethrotomy for the treatment of urethral stricture experience. Results The patients were followed up for 12 to 36 months with an average of 21 months. 16 cases of voiding smooth, satisfied. Maximum flow rate 18 ~ 25ml / s, no recurrence of urethral stricture and urinary incontinence cases. Surgical success rate was 100%. Conclusion Needle electrodes under direct vision urethrotomy has the advantages of simple operation, minimally invasive, less bleeding, fewer complications, no special equipment, etc., for <2cm urethral stricture can be used as the preferred treatment.