经输尿管镜针状电极内切术治疗输尿管狭窄的效果分析.docVIP

经输尿管镜针状电极内切术治疗输尿管狭窄的效果分析 　　[摘要] 目的 探讨经输尿管镜针状电极内切术与钬激光切开术治疗输尿管狭窄的临床效果。 方法 选取2011年1月～2013年12月本院收治的120例输尿管狭窄患者为研究对象，采用随机分组法分为两组，对照组60例采用钬激光切开术治疗，观察组60例采用经输尿管镜针状电极内切术治疗，比较两组患者的疗效、输尿管穿孔以及并发症情况。 结果 观察组患者的总有效率为95.0%，显著高于对照组的85.0%，差异有统计学意义（P0.05）；观察组患者2例出现输尿管穿孔，发生率为3.3%，术后并发症发生率为11.7%，对照组患者6例出现输尿管穿孔，发生率为10.0%，术后并发症发生率为33.3%，观察组患者的并发症发生率显著低于对照组，差异有统计学意义（P0.05）。 结论 经输尿管镜针状电极内切术治疗输尿管狭窄的效果显著，在疗效及安全性方面均显著优于钬激光切开术，值得在临床推广应用。 　　[关键词] 输尿管狭窄；输尿管镜；电极内切术；钬激光切开术 　　[中图分类号] R693+.2 [文献标识码] A [文章编号] 1674-4721（2014）09（b）-0060-03 　　Effect analysis of trans-ureteroscopic incision with needle electrode in the treatment of ureterostenosis 　　LI Shun-lai SUI Ying 　　Department of Urinary Surgery，the 5th People′s Hospital of Jinan City，Jinan 250022，China 　　[Abstract] Objective To explore the clinical effect of trans-ureteroscopic incision with needle electrode and incision of holmium： YAG laser in the treatment of ureterostenosis. Methods 120 patients with ureterostenosis admitted into our hospital from January 2011 to December 2013 were selected as the research object.They were randomly divided into two groups.In control group （n=60），incision of holmium：YAG laser was applied，while in observation group （n=60），trans-ureteroscopic incision with needle electrode was adopted.The curative effect，ureteral perforation，and complications were compared in the two groups. Results The total effective rate in the observation group was 95.0%，much higher than that in the control group accounting for 85.0%，which displayed a statistical difference （P0.05）.Ureteral perforation occurred in two cases with the incidence of 3.3% in the observation group.The incidence of postoperative complications was 11.7%.In the control group，ureteral perforation occurred in 6 cases with the incidence of 10.0%，and the incidence of postoperative complications was 33.3%.The indexes in the observation group was superior to those in the control group with statistical differences （P0.05）. Conclusion Trans-ureteroscopic incision