自制尿道探子在排尿困难疾病中应用.docVIP

自制尿道探子在排尿困难疾病中应用[摘要] 目的：探讨自制尿道探子在尿道狭窄或前列腺增生疾病中应用的有效性、可行性。方法：用自制尿道探子（探子外形尿扩条，中间为空心）先从小号开始探查尿道梗阻部位，探子进入膀胱后，顺探子空心置入斑马导丝或“黑芯”作支架，取出探子，逐渐增大探子了解梗阻部位的狭窄程度，并可用探子扩张狭窄梗阻尿道，以斑马导丝或“黑芯”作支架，取出探子，顺支架置入适当尿管并停留。结果：25例患者使用自制尿道探子引导下均成功导尿。结论：自制尿道探子使用方便，简单，实用，应用于排尿困难、直接导尿困难患者有实用可行性及有效性。 [关键词] 自制尿道探子；尿道狭窄；排尿困难；尿道梗阻 [中图分类号] R695 [文献标识码] C[文章编号] 1674-4721（2011）03（c）-139-02 The self-restraint urethral sound applies in the urination difficult disease PAN Jie, XIE Wenfeng, LI Guoxia, HUANG Limei, WU Junyan, DENG Ziliang The People’s Hospital of Yingde City, Guangdong Province, Yingde513000, China [Abstract] Objective: To discuss self-restraint urethral sound in urethral stricture or in prostate gland proliferation disease application validity, feasibility. Methods: (Scout contour urine expands strip with the self-restraint urethral sound, middle for hollow) started from the trumpet to investigate the urethra obstruction spot first, after the scout enters the urinary bladder, along the scout hollow posts the zebra to lead the silk or “the black core” makes the support, took out the scout, increased the scout to understand that gradually the obstruction spot the narrow degree, and the available scout expands the narrow obstruction urethra, led the silk by the zebra or “the black core” makes the support, took out the scout, post the suitable ureter along the support and pauses. Results: 25 patients used under the self-restraint urethral sound guidance the successful catheterization. Conclusion: Self-restraint urethral sound easy to operate, simple, practical, applies has the practical feasibility and the validity in the urination difficult direct catheterization difficult patient. [Key words] Self-restraint urethral sound; Urethral stricture; Urination difficulty; Urethral obstruction 尿道狭窄是泌尿外科的常见病，发病原因多为外伤所致，因尿道损伤程度、初期处理不当及后期盲目尿道扩张等因素，其病情复杂多样，加之尿道特殊的解剖位置，尿道狭窄治疗效果不能令人满意。 1资料与方法 1.1一般资料 选取2008年3月～2010年12月本院收治的25例患者，其中尿道狭窄18例，均为骑跨伤经尿道会师及腔镜下尿道狭窄扩张、闭锁复通后患者，年龄20~45岁，前