摘要
目的评价钬激光联合等离子电切与传统开放手术治疗男性尿道狭窄的疗效及安全性。方法 2005年1月至2013年12月我科共收治尿道狭窄患者59例,早期患者采用开放手术处理,自2008年后使用腔内手术,对两组患者的临床资料进行统计学分析。结果腔内手术组在手术时间、术中失血量、住院时间、术后留置尿管时间及术后并发症的发生少于开放手术组,差异有统计学意义(P<0.01)。术后尿道再次狭窄发生上开放手术优于腔内手术组(P<0.05),但对于尿道狭窄≤1.0 cm腔内手术与开放手术比较差异无统计学意义(P>0.05)。结论经尿道输尿管镜钬激光联合等离子电切治疗男性尿道狭窄具有损伤小、操作简单,可重复等优点,特别是对于≤1.0 cm的尿道狭窄,但开放手术仍是治疗尿道狭窄最终办法。
Objective To compare the clinical efifcacy and safety of combined holmium laser with plasma electrocution and the traditional open operation for the treatment of male urethral stricture.Methods From January 2005 to December 2013, 59 patients with urethral stricture were treated in our department, divided into open operation and endovascular operation group. Clinical data of the two groups were statistically analyzed.Results The operation time, the blood loss, the time of indwelling catheter and hospitalization, postoperative occurs was less in endovascular operation group than the open operation group, the difference has statistical signiifcance（P＆lt;0.01）, there was signiifcant differences between the two groups in postoperative urethral stricture（P＆lt;0.05）, for urethral stricture length≤1.0 cm, there was no significant difference （P＆gt;0.05）.Conclusion Application of combined holmium laser with plasma electrocution in male urethral stricture has the advantages of small injury, simple operation and can be repeated., especially for≤1.0 cm urethral stricture, but open operation is still the treatment of urethral stricture of the ifnal approach.
出处
《中国医药指南》
2015年第3期31-32,共2页
Guide of China Medicine
关键词
尿道狭窄
尿道内切开
输尿管镜
钬激光
Urethral stricture
Urethrotomy
Ureteroscopy
Holmium laser
