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经尿道切除术后尿道狭窄

Urethral stricture after transurethral resection.

作者信息

Fuhse J, Knüpper M

出版信息

Int Urol Nephrol. 1984;16(1):33-8. doi: 10.1007/BF02082701.

DOI:10.1007/BF02082701
PMID:6724828
Abstract

After 101 transurethral resections, iatrogenic postoperative urethral strictures have occurred in 10 cases due to pathologic changes in the bladder and bladder neck. Urethral stricture after transurethral resection (TUR) thus has represented the most common postoperative complication. No morbidity increase of urethral strictures after TUR could be demonstrated in one of the analysed groups. Fifty per cent of the incidence rate of strictures was localized in the pars pendulans urethrae. Factors causing the stricture have been demonstrated, and the incidence rate of strictures was reduced when these factors were taken into consideration. Preference is given either to conservative or surgical therapy depending on the localization of the stricture, even though endoscopic methods are used more frequently now in the treatment of stenoses of the urethra.

摘要

在101例经尿道切除术之后,由于膀胱和膀胱颈部的病理变化,有10例发生了医源性术后尿道狭窄。经尿道切除术(TUR)后的尿道狭窄因此成为最常见的术后并发症。在其中一个分析组中,未发现经尿道切除术后尿道狭窄的发病率增加。50%的狭窄发生率位于尿道悬垂部。已经明确了导致狭窄的因素,当考虑到这些因素时,狭窄的发生率有所降低。根据狭窄的部位,优先选择保守治疗或手术治疗,尽管现在内镜方法在尿道狭窄治疗中使用得更为频繁。

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Urethral stricture after transurethral resection.经尿道切除术后尿道狭窄
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引用本文的文献

1
[The role of lubrication in transurethral electrical resection].[润滑在经尿道电切术中的作用]
Urologe A. 2008 Mar;47(3):326-30. doi: 10.1007/s00120-007-1565-5.

本文引用的文献

1
[Management of urethral stricture using the sight urethrotome].[应用直视尿道切开刀治疗尿道狭窄]
Z Urol Nephrol. 1980 Apr;73(4):303-6.
2
[Occult late extravasation following transurethral electro-resection].经尿道电切术后隐匿性晚期外渗
Z Urol Nephrol. 1980 Apr;73(4):259-65.
3
[Secondary transurethral surgery of the bladder neck].
Z Urol Nephrol. 1980 Apr;73(4):297-301.
4
[20 years of prostate surgery. Reduction in the number of complications through application of a new concept in TUR, cryosurgery and surgical procedures].[前列腺手术20年。通过在经尿道前列腺切除术、冷冻手术及外科手术中应用新观念减少并发症数量]
Z Urol Nephrol. 1980 Apr;73(4):279-90.