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内镜下钬激光结合电切治疗尿道狭窄或闭锁附43例报告

文章编号:1007-1989(2008)07-0768-03

内镜下钬激光结合电切治疗尿道狭窄或闭锁

(附43例报告)

应向军

(武警浙江省总队医院泌尿科,浙江嘉兴314000)

摘要:目的提高内镜下钬激光结合电切治疗尿道狭窄或闭锁的手术成功率。方法总结43例患者在该院

行内镜下钬激光结合电切治疗尿道狭窄或闭锁的经验,并分析其疗效及技术要点。结果37例1次手术成功,

无并发症出现,6例狭窄复发而重复治疗,其中1例经2次腔内手术后再狭窄改开放手术治愈。结论内镜下钬

激光结合电切治疗尿道狭窄具有安全、有效、并发症少、微创的优点。术后定期尿道扩张,可减少狭窄复发。

关键词:尿道狭窄;钬激光;电切;内镜术

中图分类号:R 695文献标识码:B

Endoscopic treatment of urethral stricture and atreturethria

with Holmium laser combined with transurethral electronic

incision (a report of 43cases)

YING Xiang-jun

(Department of Uro logy ,Zhejiang Prov incial Co rps Hospital,Chinese People Armed Police Force,

Jiax ing ,Zhejiang 314000,P.R.China)

Abstr act 【Objective 】T o evaluate the clinical ef ficacy of endoscopic treatment of urethral stricture and atre-

turethria with Holmium laser combined with tr ansurethr al electronic incision.

【Methods 】The clinical data of 43patients w ith urethral stricture and atretur ethria w ho underwent Holmium laser combined w ith transurethral electron-

ic incision w ere analyz ed.【R esults 】37cases w ere cured by a single operatio n,6cases needed a second endoscopic

incision f or recurrent stricture af ter the f ir st surgery,1of the 6cases w as cured by open operation af ter tw ice endo-

scopic incision.【C onclusion 】The endoscopic treatment of urethral stricture and atreturethria w ith Holmium laser

combined w ith transurethral electr onic incision has the advantages of saf ety,ef fectiveness,less complications and

minimal invasion.To re duce the recurr ent urethr al strictures,regular urethral dilatation is needed after endoscopic

incision.

Key wor ds:urethral stricture;Holmium laser;electronic incision;endoscopy

收稿日期钬激光在泌尿外科的广泛应用,促进了腔内泌

尿外科的进一步发展。我院自2001年3月~2007

年5月,应用钬激光结合电切治疗尿道狭窄或闭锁43例,获得满意效果。现报告如下:1资料与方法1.1一般资料本组43例。均为男性;年龄18岁~82岁,平均

56岁;病程3个月~10年,平均9个月;狭窄部位:前尿道7例,球部16例,膜部5例,尿道内口15例;狭窄原因:外伤所致24例,导尿后引起炎症狭窄4

例,前列腺术后致尿道内口狭窄15例。术前最大尿

流率0~8mL/s (平均3mL/s )。术前有12例入院前

已行膀胱造瘘,术前逆行及顺行尿道造影显示尿道

狭窄37例,狭窄长度0.3~2.0cm ,平均1.2cm ,尿

道闭锁6例,闭锁长度0.5~1.0cm ,平均0.7cm 。第14卷第7期

中国内镜杂志Vol.14No.7

2008年7月China Jo urnal of Endosco py Jul.2008

6:2007-10-20

78

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