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經直腸超音波導引之尿道內切開術─病例報告

Transrectal Sonographic Guided Urethrotomy in Treatment of Severe Urethral Stricture-3 Cases Report

摘要


對於嚴重尿道狹窄之病人,盲目的尿道切開術容易走錯路,手術後癒後不佳。我們在3個病人手術中使用經直腸超音波導引尿道切開包進行尿道切開術,可以在很短的時間內找到最正確的路,甚至尿道出血視線不清時亦可使用,安全簡單,特提出病例報告。

並列摘要


Three cases of severe urethral strictures were treated by optic urethrotomy guided by transrectal sonography. With the aid of real time transrectal sonography, we were able to identify urinary bladder, prostatic urethra, stricture area and the tip of urethrotome. Ehile the tip of urethrotome and prostatic urethra were positioned in the same saggital plane, urethrotomy could be easily performed. This procedure is safe and time-saving and can be done even in the presence of urethral bleeding that usually make optic urethrotomy impossible to be undertaken.

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