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一种用于光学尿道内切开术的新型局部麻醉方法。

A Novel Method of Local Anesthesia for Optical Internal Urethrotomy.

作者信息

Darlington Danny

机构信息

Urology, Pondicherry Institute of Medical Sciences, Pondicherry, IND.

出版信息

Cureus. 2019 Oct 31;11(10):e6043. doi: 10.7759/cureus.6043.

DOI:10.7759/cureus.6043
PMID:31824809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6886644/
Abstract

Direct vision internal urethrotomy (DVIU) is the treatment of choice for short anterior urethral strictures. It is performed under spinal or general anesthesia although it can also be done under local anesthesia. We describe a novel method of local anesthesia for internal urethrotomy. The technique described is feasible in morbid patients who are deemed unfit for spinal or general anesthesia and achieves good analgesia.

摘要

直视下尿道内切开术（DVIU）是治疗前尿道短段狭窄的首选方法。该手术通常在脊髓麻醉或全身麻醉下进行，不过也可在局部麻醉下完成。我们描述了一种用于尿道内切开术的新型局部麻醉方法。所描述的技术对于那些被认为不适合脊髓麻醉或全身麻醉的重症患者是可行的，并且能实现良好的镇痛效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a32a/6886644/7a56f0656697/cureus-0011-00000006043-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a32a/6886644/8866cf2e5b7f/cureus-0011-00000006043-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a32a/6886644/7a56f0656697/cureus-0011-00000006043-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a32a/6886644/8866cf2e5b7f/cureus-0011-00000006043-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a32a/6886644/7a56f0656697/cureus-0011-00000006043-i02.jpg

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A Novel Method of Local Anesthesia for Optical Internal Urethrotomy.一种用于光学尿道内切开术的新型局部麻醉方法。
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本文引用的文献

1
A randomized clinical trial comparing intracorpus spongiosum block versus intraurethral lignocaine in visual internal urethrotomy for short segment anterior urethral strictures.一项比较阴茎海绵体阻滞与尿道内利多卡因在短段前尿道狭窄直视内尿道切开术中应用效果的随机临床试验。
Urol Ann. 2016 Jul-Sep;8(3):317-24. doi: 10.4103/0974-7796.184901.
2
Substitution urethroplasty or anastomotic urethroplasty for bulbar urethra strictures? Or endoscopic urethrotomy? Opinion: Endoscopic Urethrotomy.球部尿道狭窄采用替代尿道成形术还是吻合性尿道成形术？或者内镜下尿道切开术？观点：内镜下尿道切开术。
Int Braz J Urol. 2015 Jul-Aug;41(4):619-22. doi: 10.1590/S1677-5538.IBJU.2015.04.03.
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Male urethral strictures and their management.
男性尿道狭窄及其处理
Nat Rev Urol. 2014 Jan;11(1):43-50. doi: 10.1038/nrurol.2013.275. Epub 2013 Dec 17.
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Internal urethrotomy under local urethral anaesthesia is feasible with sedation and analgesia.在局部尿道麻醉下进行尿道内切开术，并给予镇静和镇痛是可行的。
Nephrourol Mon. 2012 Fall;4(4):636-9. doi: 10.5812/numonthly.4524. Epub 2012 Sep 24.
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Simple urethral dilatation, endoscopic urethrotomy, and urethroplasty for urethral stricture disease in adult men.成年男性尿道狭窄疾病的单纯尿道扩张、内镜下尿道切开术及尿道成形术。
Cochrane Database Syst Rev. 2012 Dec 12;12(12):CD006934. doi: 10.1002/14651858.CD006934.pub3.
6
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。
Indian J Urol. 2011 Jul;27(3):392-6. doi: 10.4103/0970-1591.85445.
7
Complications and controversies of regional anaesthesia: a review.区域麻醉的并发症与争议：综述
Indian J Anaesth. 2009 Oct;53(5):543-53.
8
The safety and efficacy of optical urethrotomy using a spongiosum block with sedation: a comparative nonrandomized study.使用海绵体阻滞联合镇静进行光学尿道切开术的安全性和有效性：一项非随机对照研究
J Urol. 2009 May;181(5):2134-8. doi: 10.1016/j.juro.2009.01.017. Epub 2009 Mar 17.
9
A pilot study of transperineal urethrosphincteric block for visual internal urethrotomy in patients with anterior urethral strictures.经会阴尿道括约肌阻滞用于前尿道狭窄患者直视下内切开术的一项初步研究。
J Endourol. 2008 May;22(5):1017-20. doi: 10.1089/end.2007.0097.
10
What is the place of internal urethrotomy in the treatment of urethral stricture disease?尿道内切开术在尿道狭窄疾病的治疗中处于什么地位？
Nat Clin Pract Urol. 2005 Nov;2(11):538-45. doi: 10.1038/ncpuro0320.