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鉴于尿道狭窄对尿路感染的影响意见不一,作者对单纯、复发性尿路感染采用尿道内切开治疗的116例女病人进行回顾性分析和评价。资料和方法:本组116例,年龄18～60岁,平均38岁。在控制感染后行尿道扩张(F_(40)),用Otis尿道内切开刀在11点和1点处切开狭窄,留置F_(20)尿道导尿管24小时。术后6周,每周尿道扩张一次(F_(24))。结果:63%手术良好,16%满意,21%不满意;术后随访5～8年,50%症状消失,34%症状好转,16%无效;尿培养发现肠道细菌者13例;无一例复发尿道狭窄,无残余尿及并发症。但总在性
In view of the different effects of urethral stricture on urinary tract infection, the authors retrospectively analyzed and evaluated 116 patients with simple and recurrent urinary tract infection treated with urethral incision. Materials and Methods: The group of 116 cases, aged 18 to 60 years, mean 38 years. Urethral dilatation (F 40) was performed after the infection was controlled. Otis urethral incision was used to incise stenosis at 11 o’clock and 1 o’clock. The F 20 urethral catheter was placed for 24 hours. Six weeks after operation, the urethra was dilated weekly (F_ (24)). Results Sixty-three percent of the patients were well-operative, 16% were satisfied and 21% were not satisfied. Fifty-eight years after operation, 50% of the symptoms disappeared, 34% of the symptoms improved and 16% were ineffective. Recurrent urethral stricture, no residual urine and complications. But always in nature