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目的 :评估腔内手术治疗男性尿道狭窄的有效性。方法 :总结 2 7例尿道内切开、经尿道瘢痕电切除术治疗尿道狭窄或闭锁的经验。结果 :2 6例 ( 96.3 % )手术成功 ,1例手术失败者与狭窄段太长有关 ;随访 5~ 72个月 ,平均 2 6个月 ,均排尿通畅。结论 :腔内手术治疗尿道狭窄是安全、有效的。术前了解尿道狭窄情况 ,术中沿正道冷切开 ,充分切开瘢痕及电刀切除瘢痕组织 ,术后积极预防感染是手术成功的关键
PURPOSE: To evaluate the effectiveness of endoluminal surgery in treating male urethral strictures. Methods: Twenty-seven cases of urethral incision and transurethral scar resection of urethral stricture or atresia were summarized. Results: Twenty-six cases (96.3%) had successful operation. One case of surgical failure was related to the stenosis length. The patients were followed up for 5 to 72 months with an average of 26 months. Conclusion: Endovascular treatment of urethral stricture is safe and effective. Preoperative understanding of urethral stricture, intraoperative cold incision along the right path, fully cut the scar and electric knife to remove scar tissue, postoperative positive prevention of infection is the key to the success of the operation