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目的探讨外伤性尿道狭窄或前列腺术后尿道狭窄应用尿扩和尿道内切开术治疗的临床疗效。方法收集尿路狭窄患者89例,外伤性狭窄44例,前列腺术后狭窄45例;随机抽选分别予以尿扩治疗和尿道内切开术治疗;统计分析两种治疗方式的临床疗效。结果尿道因外伤造成狭窄的患者,采用尿扩复发19例(90.5%),尿道内切开复发17例(73.9%),疗效有所差异,但效果不明显;而尿道因前列腺术后造成狭窄的患者采用上述两种治疗方式,尿扩复发率为90%,尿道内切复发率为8%,差异有统计学意义(P<0.05)。结论尿道外伤造成的狭窄采用尿道内切、尿扩手术治疗临床疗效均不能取得满意效果,复发率高,但尿道因前列腺术后造成狭窄的患者选取尿道内切治疗疗效满意。
Objective To investigate the clinical efficacy of urinary expansion and urethrotomy in traumatic urethral stricture or prostatic urethral stricture. Methods Eighty-nine patients with urethral stricture, 44 patients with traumatic stenosis and 45 patients with post-prostate stenosis were enrolled in this study. Urine expansion and urethrotomy were performed by random selection. The clinical efficacy of the two treatment methods was statistically analyzed. Results In urethral stricture patients, 19 cases (90.5%) had urethral extension and 17 cases (73.9%) had urethral incision and reoperation, the curative effect was different, but the effect was not obvious. However, urethral stricture caused by prostatectomy Of the patients treated with the above two methods, the rate of urinary expansion was 90%, urethral incision recurrence rate was 8%, the difference was statistically significant (P <0.05). Conclusions The urethral endotracheal stenosis caused by urethral trauma can not be treated satisfactorily and the recurrence rate is high. However, urethral endotracheal resection of the urethra caused by prostatic surgery is satisfactory.