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目的:探讨尿道瘢痕内注射曲安奈德联合尿道扩张治疗外伤性尿道瘢痕狭窄的疗效。方法:外伤性尿道瘢痕狭窄的病人33例应用曲安奈德尿道瘢痕内注射联合尿道扩张治疗,观察患者治疗前及治疗后1、3、6、12个月的自主排尿、尿流率、尿道瘢痕的变化等情况以判定疗效。结果:曲安奈德尿道瘢痕内注射联合尿道扩张治疗后,随访12个月,尿道瘢痕明显缩小、软化,排尿通畅,最大尿流率为(16.23±3.18)mL/s,治愈25例,治愈率75.76%(25/33);显效8例,显效率24.24%(8/33),无效0例。结论:外伤性尿道瘢痕狭窄患者早期行尿道瘢痕内曲安奈德注射联合尿道扩张治疗,可以明显地缩小、软化尿道瘢痕,对于尿道瘢痕性狭窄的治疗有较好的疗效。
Objective: To investigate the efficacy of triamcinolone acetonide combined with urethral dilation in the treatment of traumatic urethral scar stenosis. Methods: Thirty-three cases of traumatic urethral stricture were treated with triamcinolone acetonide intra-scar injection combined with urethral dilatation. The spontaneous micturition, urinary flow rate, urethral scar before and after 1, 3, 6 and 12 months after treatment Changes in the situation to determine the efficacy. Results: After being treated with triamcinolone acetonide injection combined with urethral dilatation and urethral dilation for 12 months, the scar of urethra was significantly reduced, softened and voided. The maximal uroflow rate was (16.23 ± 3.18) mL / s and the cure rate was 25 75.76% (25/33), markedly effective in 8 cases, effective rate of 24.24% (8/33), invalid 0 cases. CONCLUSION: Trabeculectomy with urethral stricture can be effectively treated with triamcinolone acetonide injection combined with urethral dilation in the early stage of urethral scar stenosis, which can obviously reduce and soften the scar of the urethra and have a good curative effect on the treatment of urethral cicatricial stenosis.