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1995年9月至1998年4月,我们采用在金属导丝引导下激光切通后电气化治疗潜隙状后尿道狭窄25例,疗效满意,兹报告如下。 临床资料 本组25例,均为男性,年龄21~76岁,平均37岁。病程2~14年。前列腺术后3例,外伤性24例。临床表现为尿线纤细,时呈点滴状,慢性尿潴留,行膀胱造瘘16例,伴前列腺增生3例,7例术前已出现肾积水,肾功有不同程度改变,曾行各种尿道手术20例。均经尿道造影确诊为后尿道狭窄,狭窄段0.5~3cm。膀胱尿道镜均未能通过。
From September 1995 to April 1998, we treated 25 cases of posterior urethral stricture electrochemically under the guidance of a metal guide wire, and the results were satisfactory. We report the following. Clinical data The group of 25 patients, both men, aged 21 to 76 years, mean 37 years. Course of 2 to 14 years. 3 cases of prostate surgery, traumatic in 24 cases. Clinical manifestations of slender urinary tract, when was drip-like, chronic urinary retention, 16 cases of cystostomy, 3 cases of benign prostatic hyperplasia, 7 cases of preoperative hydronephrosis, renal function have varying degrees of change, had a variety of Urinary tract surgery in 20 cases. Urethral angiography confirmed by urethral stricture, stenosis 0.5 ~ 3cm. Bladder urethra failed to pass.