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目的 探讨输尿管镜在治疗尿道狭窄中的作用及价值。方法 采用镜鞘一体硬输尿管镜寻找尿道真道 ,扩张狭窄部位 ,留置尿道标识 ,结合尿道镜及电切镜行尿道内切开和 /或尿道瘢痕组织切除 ,留置导尿管。拔导尿管后用镜体直视下尿道扩张治疗尿道狭窄 2 6例。结果 2 5例留置导尿管成功。 2 4例恢复正常排尿 ,2例失败 ,1例改为开放性手术治愈 ,1例因术后再次狭窄行耻骨上膀胱造瘘。结论 输尿管镜能显著提高尿道狭窄腔内治疗的治愈率 ,可作为治疗尿道狭窄的重要手段
Objective To investigate the role and value of ureteroscopy in the treatment of urethral stricture. Methods A ureteroscope was screened by rigid sheath - ureteroscope. The ureter was expanded, the stenosis was removed, the urethral sign was placed, the urethral incision and / or urethral scar excision was performed in combination with ureteroscope and resectoscope. Pull the catheter with urethral dilation directly under the urethral stricture treatment of 26 cases of urethral stricture. Results 25 cases of indwelling catheter was successful. In 24 cases, normal urination was resumed, 2 cases failed, one case was cured by open surgery and the other was suprapubic cystostomy after another stenosis. Conclusions Ureteroscopy can significantly improve the cure rate of intraurethral urethral stricture, which can be used as an important method to treat urethral stricture