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目的 :探讨前列腺术后并发尿道狭窄的治疗方法。方法 :1988～ 1998年对 2 5例前列腺术后并发尿道狭窄患者在直视下行尿道内切开术 ( DVIU ) ,其中 1988～ 1990年收治 9例行狭窄段12、4、8点放射状切开 ,1991～ 1998年收治的 16例按照狭窄部位行不同点位的内切开。结果 :1988～ 1990收治的 9例术后出现不同程度的并发症 ,1991～ 1998年收治的 16例手术效果满意 ,并发症明显降低。结论 :前列腺术后尿道狭窄环的切开点应遵循狭窄部位、长度、瘢痕的多少及深度进行选择的原则 ,并注意尿道解剖特点。
Objective: To investigate the treatment of urethral stricture after prostatectomy. METHODS: Twenty-five patients with urethral stricture undergoing prostatectomy under direct urethrotomy (DVIU) were enrolled in this study from 1988 to 1998. Nine of them underwent linear incision at 12,4,8 points , 16 cases admitted from 1991 to 1998 according to the stenosis site at different points within the incision. Results: Nine patients admitted to our hospital from 1988 to 1990 had different degrees of complications after operation. Among the 16 patients admitted from 1991 to 1998, the surgical results were satisfactory and the complications were significantly reduced. CONCLUSIONS: The incision point of the urethral stricture ring after prostatectomy should be guided by the selection of the stenosis, length, scar size and depth, and pay attention to the anatomic features of the urethra.