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[经尿道介入治疗并发症的原因及预防。尿道介入治疗]

[Causes and prevention of complications in transurethral interventions. Interventions in the urethra].

作者信息

Sachse H, Tiefel W, Sachse L

出版信息

Urologe A. 1985 Jul;24(4):189-94.

PMID:4035828
Abstract

The male urethra is extremely vulnerable because of the peculiar morphology. Many urethral lesions and their sequelae are due to the disproportion between the diameter of the urethra and the applied instrument. In order to adjust both calibers it is advisable to use an internal urethrotomy in stead of bougies. Complications which may be caused by catheterisation, and by the treatment of meatal stenosis or urethral strictures and how to avoid them are discussed. In spite of improvements in transurethral equipment and careful transurethral operative technique, perioperative prophylaxis with potent antibiotics, is recommended in order to prevent late complications due to infections.

摘要

男性尿道由于其特殊的形态而极其脆弱。许多尿道病变及其后遗症是由于尿道直径与所使用器械之间的比例失调所致。为了调整两者的口径,建议采用尿道内切开术而非尿道探条。本文讨论了导尿、尿道口狭窄或尿道狭窄治疗可能引起的并发症以及如何避免这些并发症。尽管经尿道设备有所改进且经尿道手术技术更加精细,但仍建议围手术期使用强效抗生素进行预防,以防止感染导致的晚期并发症。

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