经输尿管镜钬激光术用于尿道狭窄合并尿道结石的疗效观察.docVIP

经输尿管镜钬激光术用于尿道狭窄合并尿道结石的疗效观察 　　doi：10.3969/j.issn.1007-614x.2014.16.32 　　摘 要 目的：探讨经输尿管镜钬激光术治疗尿道狭窄合并尿道结石的临床疗效。方法：2011年-2013年收治尿道狭窄合并尿道结石男性患者50例，统计分析其临床资料。结果：所有患者均顺利完成手术，平均手术时间（50.3±10.6）分钟。手术过程中所有患者的出血均不明显，均没有发生尿道瘘、尿失禁等并发症。50例患者中，治愈10例，显效17例，有效22例，无效1例，治疗总有效率98%（49/50）。结论：经输尿管镜钬激光术治疗尿道狭窄合并尿道结石的临床疗效良好，值得推广。 　　关键词 输尿管镜狄激光术 尿道狭窄合并尿道结石 临床体会 　　Curative effect observation of ureteroscopy holmium laser surgery in the treatment of urethral stricture combined with urethral stone 　　Xue Yingjie 　　Department of Urology，the Peoples Hospital of Yuanyang County，Xinxiang City，Henan 453500 　　Abstract Objective：To explore the clinical effect of ureteroscopy holmium laser surgery in the treatment of urethral stricture combined with urethral stone.Methods：50 male cases with urethral stricture combined with urethral stone were selected from 2011 to 2013.The clinical data were statistically analyzed.Results：The operation was successful in all cases.The average operation time was 50.3±10.6 minutes.The bleeding in the operation process of all cases were not obvious .There were no urethral fistula and urinary incontinence complications.In 50 cases，10 cases were cured after one operation.17 cases were markedly effective.22 cases were effective.1 case was invalid.The total effective rate was 98% （49/50）.Conclusion：The ureteroscopy holmium laser surgery in the treatment of urethral stricture combined with urethral stone has a good clinical effect.It is worthy of promotion. 　　Key words Ureteroscopy holmium laser surgery；Urethral stricture combined with urethral stone；Clinical experience 　　本研究对2011年-2013年我院收治的50例尿道狭窄合并尿道结石的男性患者临床资料进行了统计分析，探讨了经输尿管镜钬激光术治疗尿道狭窄合并尿道结石的临床疗效，现报告如下。 　　资料与方法 　　2011年-2013年收治尿道狭窄合并尿道结石男性患者50例，所有患者术前均经B超、骨盆X线片确定结石大小及位置，同时经顺行和逆行尿道造影确定尿道狭窄部位及长度 [1]。年龄24～70岁，平均（41.3±10.4）岁；狭窄段长度0.5～2.0cm，平均（1.7±0.1）cm；结石大小0.6～2.5cm，平均（1.5±0.6）cm。其中前尿道狭窄合并结石18例，膜部尿道狭窄合并结石26例，前列腺部尿道狭窄合并结石6例。 　　治疗方法：首先对患者进行腰硬联合麻醉，然后让患者取截石位，运用德国9.5F Storz输尿管硬镜，引导设置为输尿管导管或导丝，将狄激光传导光线从输尿管镜操作孔道导入，将狄激光能量、