尿道内切开术治疗24例外伤性尿道狭窄

目的探讨尿道内冷刀切开术治疗外伤性尿道狭窄的效果。方法24例尿道狭窄患者，均采用尿道镜下经尿道内切开术治疗，现对其临床资料进行回顾性分析。结果24例手术均顺利完成。术后随访6～12个月，14例术后排尿通畅。最大尿流率〉15ml／s，8例术后出现尿流变细行定期尿道扩张，2例再狭窄者行二次尿道内切开手术治愈。结论尿道内切开术治疗尿道狭窄疗效可靠，具有创伤小、并发症少等优点，而且要求硬件条件低，适应于基层医院开展。尿道扩张可以巩固手术效果和降低狭窄复发率。

Treatment of traumatic urethral stricture with transurethral endoscopic incision: Report of 24 cases

Objective To evaluate the transurethral endoscopic incision with cold knife in the treatment of traumatic urethral stricture.Methods 24 male patients with urethral stricture underwent internal urethrotomy using internal cold-knife.The clinial data were analyzed retrospectively.Results All operations were accomplished successfully.For 6 to 12 months follow-up,14 patients could void satisfactorily,the Qmax>15 ml/s.Only 2 patients were reoperated for postoperative stenosis.There was no complication such as inc...