【doc】留置前尿道内支架管治疗前尿道狭窄疗效观察

【doc】留置前尿道内支架管治疗前尿道狭窄疗效观察 留置前尿道内支架管治疗前尿道狭窄疗效 观察 ,???9??,??????,?t?M??,???b?? .?.????8????5?????>???5,?W?????1 ???x???z?F?????K?e?? .?.?.B????.1.?????.????????????K???j???????????K?????????T??????.5????.??<??2005gE2008??5?P?L?1?????? ?????e?????p?????K?????????8??38?????M??????,?<???R?i?????K?????g?????g?????838?????M??????,?????h ????????????.5????.????L???K???j???????????K???????x?????1???K?????g?A??,?j?9???????K?]?????????9???? ???K???j?????9?[?<???8?????u?K?]???????j???9?x????,?9?????????????H?<???????4??(P<0105),?????<?? ?v?????8???F??????.5????.????K?????????8?W?????K?????j?????M??????????????????,?????????????????i????, ?<???????????????J.5 .?.?.B???Y??.1.??K??????;?j????;???g?j .?.?.B?W???3????.1R69514.?.B???Y?(???,.1B.?.B?????e??.11007-9572(2009)02-0236-02 EffectofIndwellingAnteriorUrethralStenttoAnteriorUrethralStricture.?LIUDong-rong,LUOHou-zhou,WU Ying-jie,etal.DepartmentofUrology,The181thHospitalofPLA,Guilin541002,China .?.?.BAbstract.1.?Objective.?Toinvestigatetheclinicaleffectofindwellinganteriorurethralstent(IAUS)inpatientswith anteriorurethralstricture.Methods.?FromJanuary2005toMay2008,38inpatientsoroutpatientswithanteriorurethralstric2 turewhoreceivedIAUStherapyinourhospitalwereenrolledasthetrialgroup,with38patient swiththesamediseasereceiving theurethraldilatationasthecontrolgroup.Thetherapeuticresultsinthetwogroupswereobser ved.Results.?TheIAUStherapy remarkablyreducethetimeofurethraldilatationforthepatientsonthetrialgroup,andtheirma ximumflowrateofurinewasobvi2 ouslyincreasedaftertheIAUSoperationascomparedwiththoseofthecontrolgroup.TheIAU Stherapycouldalsoimprovethepa2 tientsgmsubjectivesymptoms.Conclusion.?TheIAUStherapyisofsatisfactoryeffectforpa tientswithanteriorurethralstricture, anditisworthspreadingclinically. .?.?.BKeyword.1.?Urethralstricture;Stents;Dilatation .?.????K?????????8?I???????K????.,?K ??????????,???i???????9?K???F?????g ?B?????????????????u?v??,?????f???? ?]?u???????a????????,???????8?????i ???K?????g???v?????K?????????m???i?? ????.5?g?????K?????g???????6?N?????? ?8????,?R?E???????8???????i??,???i ???????6?I?3??,?1????2005???w???? ?L?????K?????j?????????4???????i?K?? ???g???????K?????? [1-2] ,???????????? ???i????,???F?????;.5 1.??/???9???? 111.??T???/??.??<??2005gE2008??5?P ?L?1?????????????????p???????K?????? ???8??38??(??????),???<???R?i?? ?K?????g?????g?????K?????????838?? 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[4] ,?????x???v?????K?? ??,?????9?????<???A???L,?<???v???? ???8?i?F?L??,?N?j?????B?????8,???u ?i?F?????L???u??????.5?F???z???T???? ??,???I???;.5 311.????????M??????????.??L?????K?? ???g?R???????j?????????g,?????????? ?z?M4??.5??????????????,???6?.???? ???L,???-???B???A????;?????????o?- ?f???5???i?????5???????i??,???????? ?9?K?????6?3???e???u?K?]????<15ml/ s?????8??????????.5 312.??j???????<???????3.????e?<???8 ???????E?G???i?????b?G.,????.,?????? ???I?????j????,?N?????I?O???L?T???) ???L [5] .5?z?E?????????????L???????I ?%???f?]??.5???z????,?j?????????? ?(,?p???e?????K???????????1,?????? ?????4?????8,?p?????L???K???K?????? ?T?9???????m?j?????p??,???e?L?????i ?????[????????,?m???????????f?????T ?????e?j?????????K??.5???????????K ??,?0?3???4???z?R?K?????5???????j, ?N???m?????A???h?K??.5??????1???4?K ???8,?????L?????????????????4???? ??.5 313.??????K???????a???8???0?3.????v ???K?????g?????B?B???u?????j?????? ?J,???z????2???9???2?????u?j?????? ?J [6-7] .5?z?E?????????W1??6?????8?K ???????a??,?K?????g??8?????g?????M ????,???????????????????A???????9?? ?D????3mm?%???????????g,?<?????? ?B?B???u?j???????J,3?O?P?9???D???? F12???%????.5 ???)?[??,?L???????K???????W???K ???????j???????????i???g?6?N???9?x?v ?????8?????K????,???1?K?????g?A??, ???????????8?????????????i??.5?L?T?? ?)????????,???8?????????????????? ??,???9?x?6?5?e??????,???????????4 ?e???u.,???u?i?F???>?????K?????????8 ???M??????????????????.5 ???2???Y 1.????i??,????1[ J]1, 2000,6(2):12-13. 2.????1?n,??????,?t?w?;1[ J]1, 2003,43(26):33-34. 3.?OgbonnaBC.Managingmanypatientswitha urethralandlimitationsofendoscopictherapy forurethralstenosis[J].ArchItalNefrolAn2 drol,1990,62(4):439. 4.???????,???8??,?f??,??1( ?/ 21??????)[J]1, 1999,4(3):146-147. 5.?IsotaloT,TammelaTL,TalJM.Abioabsor2 babaleself-expandable,self-reinforcepoly -lacticacidurethralstentforrecurrenture2 thralstrictures:apreliminaryreport[J].J Urol,1998,160(6pt1):2033. 6.??v????,?7??16 0???3??[J]1, 2005,4(5):282. 7.???????,?o????,??????1[ J]1,2004, 18(4):58-59. (?G?K???i; ???????i5) (?z???e????????) ??732?? ?? 1217 1ml/s :2008-07-28 :2008-10-1 :