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目的:探讨输尿管镜、筋膜扩张器联合等离子电切在男性尿道狭窄治疗中的临床价值。方法:回顾性分析13例用输尿管镜、筋膜扩张器联合等离子电切治疗的尿道狭窄男性患者的临床资料,狭窄位于阴茎部尿道2例、球部尿道3例、膜部尿道6例、前列腺部尿道2例。结果:13例患者均用输尿管镜、筋膜扩张器联合等离子电切技术1次完成手术,未出现并发症。13例均获得随访,其中1例6个月时出现尿线变细,狭窄复发,经尿道扩张处理,排尿恢复术后状态。结论:输尿管镜、肾筋膜扩张器联合等离子电切治疗尿道狭窄效果明显,手术安全,简便,有效值得推广。
Objective: To investigate the clinical value of ureteroscope, fascia dilator combined with plasma tangential in the treatment of male urethral stricture. Methods: The clinical data of 13 male urethral strictures treated with ureteroscope, fascia dilator and plasma tangential excision were retrospectively analyzed. The stenosis was located in 2 cases of urethra of penis, 3 cases of urethra, 6 cases of membranous urethra, Department of urethra in 2 cases. Results: Thirteen patients underwent ureteroscopy, fascia dilator combined with plasma tacrolimus and one operation without complications. Thirteen patients were followed up, of which 1 case of 6 months when the urine thinning, recurrent stenosis, transurethral dilation, micturition recovery state. Conclusions: Ureteroscopy, renal fascia dilator combined with plasma tangential excision of the urethral stricture effect is obvious, safe, simple, effective and worth promoting.