输尿管镜下钬激光治疗尿道狭窄临床观察.PDFVIP

《现代仪器与医疗》 2018年  第24卷   第3期 临床研究 输尿管镜下钬激光治疗尿道狭窄临床观察 覃钦友　许海燕 四川省遂宁市射洪县中医院泌尿外科，四川射洪　629200 [摘　要]　目的：观察输尿管镜下钬激光治疗尿道狭窄的临床效果及安全性，总结其应用价值。方法：60 例为 2015 年3 月～2017 年 1 月行输尿管镜下钬激光尿道内狭窄切开术患者（A 组）。60 例为2013 年至2015 年期间 狭窄部位长度与A 组接近接受冷刀内切开术患者（B 组）。比较两组患者手术情况、并发症发生情况及恢复情 况，并记录其随访期间尿道扩张次数、复发率及再手术率，分析输尿管镜下钬激光治疗尿道狭窄的效果与安全性。 结果：A 组手术时间长于B 组，其术中出血量低于后者，差异有统计学意义（ ＜0.05 ）。两组患者术中尿外渗 P 及术后尿失禁发生率比较，差异无统计学意义（ ＞0.05 ）。两组患者术后最大尿流率（Qmax ）均较术前上升， P A 组术后Qmax 高于B 组，差异有统计学意义（ ＜0.05 ）。患者随访时间6 ～27 个月，中位随访时间15 个月。 P A 组随访期间尿道扩张次数、复发率、再手术率均低于B 组，差异有统计学意义（ ＜0.05 ）。结论：输尿管镜 P 下钬激光治疗尿道狭窄疗效确切、安全可靠，进一步总结治疗经验有望缩短其学习曲线。 [关键词]　输尿管镜；钬激光；尿道狭窄 中图分类号：R693　文献标识码：A　文章编号：2095-5200(2018)03-035-03 DOI：10.11876/mimt201803015 Clinical observation of ureteroscopic holmium laser in the treatment of urethral stricture　QIN Qinyou, XU Haiyan. Department of Urology Surgery,Shehong Hospital of traditional Chinese, Shehong 639200, China [Abstract]　Objective: The objective of this study was to observe the clinical effects and safety of ureteroscopic holmium laser in the treatment of urethral stricture. Methods: A total of 120 patients with urethral stricture were collected. 60 patients were underwent ureteroscopic holmium laser internal urethrotomy between March 2015 and January 2017 (group A). Another 60 patients, whose length of urethral stricture position was close to that of the group A, received internal urethrotomy with cold knife from 2013 to 2015 (group B). The operation, complications and recovery of the two groups were compared, and the frequency of urethral dilatation, recurrence rate and reoperation rate during the follow-up period were recorded. The effects and safety of ureteroscopi