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萨克泽刀片术中折断：光学内部尿道切开术的一种罕见并发症（一例处理经验）

Intraoperative breakage of Sachse's knife blade: A rare complication of optical internal urethrotomy (one case managing experience).

作者信息

Kanodia Gautam Kumar, Sankhwar Satyanarayan, Jhanwar Ankur, Bansal Ankur, Kumar Manoj, Gupta Ashok

机构信息

King George Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Int Braz J Urol. 2017 Jan-Feb;43(1):163-165. doi: 10.1590/S1677-5538.IBJU.2016.0081.

DOI:10.1590/S1677-5538.IBJU.2016.0081
PMID:28124540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5293398/
Abstract

Optical internal urethrotomy (OIU) is the most common procedure performed for short segment bulbar urethral stricture worldwide. This procedure most commonly performed using Sachse's cold knife. Various perioperative complications of internal urethrotomy have been described in literature including bleeding, urinary tract infection, extravasation of fluid, incontinence, impotence, and recurrence of stricture. Here we report a unique complication of breakage of Sachse knife blade intraoperatively and its endoscopic management.

摘要

光学内部尿道切开术（OIU）是全球范围内治疗短段球部尿道狭窄最常用的手术。该手术最常使用萨克斯冷刀进行。文献中描述了内部尿道切开术的各种围手术期并发症，包括出血、尿路感染、液体外渗、尿失禁、阳痿和狭窄复发。在此，我们报告一例术中萨克斯刀片断裂的独特并发症及其内镜处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/59f4af2f3dac/1677-5538-ibju-43-01-0163-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/8ef297295121/1677-5538-ibju-43-01-0163-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/2cb5b35d7c48/1677-5538-ibju-43-01-0163-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/59f4af2f3dac/1677-5538-ibju-43-01-0163-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/8ef297295121/1677-5538-ibju-43-01-0163-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/2cb5b35d7c48/1677-5538-ibju-43-01-0163-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12e5/5293398/59f4af2f3dac/1677-5538-ibju-43-01-0163-gf03.jpg

相似文献

1
Intraoperative breakage of Sachse's knife blade: A rare complication of optical internal urethrotomy (one case managing experience).萨克泽刀片术中折断：光学内部尿道切开术的一种罕见并发症（一例处理经验）
Int Braz J Urol. 2017 Jan-Feb;43(1):163-165. doi: 10.1590/S1677-5538.IBJU.2016.0081.
2
Double Intracavernous Breakage of Sachse's Knife Blade: Management of a Rare Complication Performing Direct Vision Internal Urethrotomy.萨克斯刀片双海绵体破裂：直视下内切开术罕见并发症的处理
J Endourol Case Rep. 2017 Sep 1;3(1):126-129. doi: 10.1089/cren.2017.0087. eCollection 2017.
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[Open plasties of the urethra after internal urethrotomy by Sachse's procedure. Evaluation in 18 patients].[经萨克塞氏手术行尿道内切开术后尿道开放整形术。18例患者的评估]
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Anterograde urethrotomy, a new method for internal urethrotomy.顺行性尿道切开术，一种新的内尿道切开术方法。
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PlasmaKinetic™ versus cold knife internal urethrotomy in terms of recurrence rates: a prospective randomized study.
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[Urethroplasty against endoscopic urethrotomy].内镜下尿道切开术的尿道成形术
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Comparison of neodymium-doped yttrium aluminum garnet laser treatment with cold knife endoscopic incision of urethral strictures in male patients.男性患者中钕掺杂钇铝石榴石激光治疗与冷刀内镜下尿道狭窄切开术的比较。
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[Treatment of stenosis of the posterior urethra using Sachse's urethrotome].[使用萨克泽尿道刀治疗后尿道狭窄]
G Chir. 1990 Sep;11(9):497-8.
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Holmium laser versus cold knife visual internal urethrotomy for management of short segment urethral stricture: a prospective randomized clinical trial.钬激光与冷刀经尿道内切开术治疗短段尿道狭窄的前瞻性随机临床试验。
World J Urol. 2023 Jul;41(7):1897-1904. doi: 10.1007/s00345-023-04434-8. Epub 2023 May 31.

引用本文的文献

1
Double Intracavernous Breakage of Sachse's Knife Blade: Management of a Rare Complication Performing Direct Vision Internal Urethrotomy.萨克斯刀片双海绵体破裂：直视下内切开术罕见并发症的处理
J Endourol Case Rep. 2017 Sep 1;3(1):126-129. doi: 10.1089/cren.2017.0087. eCollection 2017.

本文引用的文献

1
The current role of direct vision internal urethrotomy and self-catheterization for anterior urethral strictures.直视下内尿道切开术和自我导尿术在治疗前尿道狭窄中的当前作用。
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The impact of optical urethrotomy on the management of urethral strictures.光学尿道切开术对尿道狭窄治疗的影响。
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