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目的:探讨尿道狭窄的腔内手术治疗疗效及其安全性。方法:回顾性分析直视下采用肾镜、英国Gyrus公司生产的超脉冲等离子体切割镜对29例尿道狭窄患者进行腔内内切开治疗。结果:本组尿道内切开术1次者27例,2次者2例。29例全部成功。结论:术前完善各项术前检查,详细了解尿道狭窄段长度、狭窄程度、位置、数目、有无合并假道;术中充分切开瘢痕组织,超脉冲等离子切割镜(内鞘F24、30°切割镜)弧形电切襻彻底去除瘢痕组织;术后积极预防感染、正确把握保留导尿管时间是保证手术成功的关键。
Objective: To investigate the efficacy and safety of endovascular surgery for urethral stricture. Methods: Retrospective analysis of 29 patients with urethral stricture under endoscopic endoscopic treatment with direct neprosing, Gyrus Pulsed Plasma Cutting Mirror UK. Results: The group of urethrotomy in 27 cases, twice in 2 cases. All 29 cases were successful. CONCLUSIONS: Perioperative preoperative examination is completed to understand the length of urethral stricture, the degree of stenosis, the location, the number and the presence or absence of complicated false passage. The scar tissue and the ultrapulse plasma cutting mirror ° cutting mirror) arc cutting 襻 complete removal of scar tissue; positive prevention of infection after surgery, to correctly grasp the time to keep the catheter is the key to ensuring the success of the operation.