论文部分内容阅读
目的:探讨经尿道手术治疗后尿道闭锁的方法,提高手术成功率。方法:采用X线介入术前经皮球部尿道穿刺通过闭锁段至近端尿道并置入引导丝,再循引导丝行经尿道内切开治疗12例后尿道闭锁患者。结果:12例后尿道闭锁患者均1次手术成功,成功率100%,术后常规尿道扩张,随访6～18个月,11例排尿通畅,1例因多次手术可能合并瘢痕体质拔管1个月后再次后尿道狭窄。结论:X线介入下经皮球部尿道穿刺通过闭锁段至近端尿道并置入引导丝,在导丝引导下行经尿道闭锁段内切开术安全有效,较盲目内切开优势显著。
Objective: To explore the method of transurethral resection of urethral atresia to improve the success rate of operation. Methods: Percutaneous balloon urethral puncture through the occlusion segment to the proximal urethra was performed before X - ray insertion. The guide wire was inserted into the urethra and the guide wire was rerouted for transurethral resection of the posterior urethral atresia. Results: All the 12 cases of posterior urethral atresia were operated successfully in one operation. The success rate was 100%. The routine urethral dilatation and follow-up were 6-18 months. In 11 cases, urinary tract obstruction was smooth. One case complicated with scar physical extubation 1 After a month after the urethral stricture. CONCLUSION: Percutaneous balloon urethral puncture through the occlusion segment to the proximal urethra with X-ray insertion and insertion of the guide wire is safe and effective in transurethral ligation of the ureter in the guidewire, which is more effective than blind incision.