[经尿道内切开术治疗尿道狭窄。“马尔克斯·德·瓦尔迪西利亚”大学医院的经验]

[Internal urethrotomy in the treatment of urethral stenosis. Experience at the "Marqués de Valdecilla" University Hospital].

作者信息

Concepción Masip T, Fernández Gómez J M, Hernández Rodríguez R, Portillo Martín J A, Correas Gómez M A, Gutiérrez Baños J L, Martín García B

机构信息

Servicio de Urología, Hospital Universitario Marqués de Valdecilla Santander, España.

出版信息

Arch Esp Urol. 1991 Nov;44(9):1081-5.

PMID:1807210

Abstract

The results of treatment of urethral strictures using the Sachse urethrotome in 31 patients are presented. These patients had consulted between 1985 and 1990 and were followed for a minimum of 6 months. The most common etiology in our series was iatrogenic (57.57%), particularly incorrect catheter placement. Single (66.66%) and short (72.72%) strictures were more common than the multiple (15.15%) and long (15.15%). The strictures were more frequently localized to the bulbous urethra (42.42%). Spinal and general anesthesia were utilized. The catheters were made of silastic material with calibers ranging from 16-22 FR and patients remained in the hospital from 4-30 days. Good results were achieved in 51.61%, fair in 22.58% and poor in 25.80%. The literature on endoscopic management of urethral stricture is briefly reviewed.

摘要

本文介绍了使用萨克泽尿道切开刀治疗31例尿道狭窄患者的结果。这些患者于1985年至1990年间前来就诊，并接受了至少6个月的随访。在我们的病例系列中，最常见的病因是医源性（57.57%），尤其是导尿管放置不当。单发狭窄（66.66%）和短段狭窄（72.72%）比多发狭窄（15.15%）和长段狭窄（15.15%）更为常见。狭窄更常位于球部尿道（42.42%）。采用了脊髓麻醉和全身麻醉。导尿管由硅橡胶材料制成，口径为16-22FR，患者住院时间为4-30天。51.61%的患者取得了良好效果，22.58%的患者效果尚可，25.80%的患者效果较差。本文还简要回顾了有关尿道狭窄内镜治疗的文献。