肾筋膜扩张器在尿道狭窄治疗中的应用.doc

肾筋膜扩张器在尿道狭窄治疗中的应用袁源湖邹晓峰徐辉肖日海伍耿青王晓宁刘佛林江西赣州赣南医学院第一附属医院泌尿外科(赣州341000)【摘要】目的探讨肾筋膜扩张器在尿道狭窄治疗中的应用价值。方法应用肾筋膜扩张器对35例尿道狭窄患者行尿道狭窄扩张术:31例尿道未闭锁者直接留置斑马导丝,4例尿道闭锁者应用输尿管镜电切针刺切打通尿道后留置斑马导丝,循序用8F至22F肾筋膜扩张器扩张狭窄尿道。视狭窄悄况采用电切镜行电切修整。结果35例手术均成功,无假道形成。11例狭窄段较长或有较多瘢痕纟R织者加行经尿道电切修整。随访6〜42个月,均排尿良好, 00()ml/s±、(±)ml/s,B超检查膀胱无剩余尿。结论利用肾筋膜扩张器行尿道狭窄扩张术是安全、简便、有效的新方法,值得临床应用。【关键词】尿道狭窄治疗肾筋膜扩张器TheclinicalapplicationofrenalsheathdilatorstreatingontheurethrostenosisYuanYuan-hu,ZouXiao-feng,HuangMing,,theFirstAffiliatedHospitaiofGannanMedicalCollegeJiangXi,Ganzhou341000Correspondingto:YuanYuan~huE-mail:yu&nyu&******@:**********,(0797)8269508[Abstract】Objective::Thedilationof35casessufferingfromurethrostenosiswereperformedwiththerenalsheathdilators:ordingtothedegreeofthestricture・ResuIts:Of35cases,,"42monthsandnodifficultyofurinationhappened,~()ml/sto1&00"(26・40±8・40)ml/sandtherewerenoresidualurineconfirmedbytheB-:Dilatedtheurethrostenosiswiththerenalsheathdilatorswasbelievedtobeasafe,ewmethodandshouldbepopularize