摘要
目的评价输尿管镜联合钬激光与冷刀内切开治疗男性尿道狭窄的临床疗效。方法回顾性分析46例输尿管镜联合钬激光治疗患者(A组)和72例经尿道冷刀内切开治疗患者(B组)的临床资料。结果A组36例获访4～12个月,术后平均最大尿流率(16.8±3.2)ml/s,再次手术者5例(13.8%);B组51例获访8～25个月,术后平均最大尿流率(10.2±2.5)ml/s,再次手术者18例(35.2%)。结论输尿管镜联合钬激光治疗男性尿道狭窄视野清晰、切割精确,治疗效果优于经尿道冷刀内切开。
Objective To evaluate the clinical efficacy of urethrotomy by using Holmiun laser combined ureteroscopy and cold knife. Methods The clinical data of 46 patients （ group A） treated by Holmiun laser combined ureteroscopy and 72 patients （ group B） underwent cold knife urethrotomy were retrospectively analyzed. Results In group A, 36 cases were followed up for 4 - 12 months, of whom the average peak urinary flow rate（Qmax） was 16.8 ± 3.2 ml/s, 5 eases received reoperation; In group B, 51 cases were followed up for 8 25 months, in which the average Qmax was 10.2 -＋ 2.5 ml/s, and 18 cases underwent reoperation. Conclusion For man urethral stricture, Holmiun laser combined ureteroseopy can provide a clear visual field and make the incision more precisely, its outcome is markedly superior to cold knife urethrotomy.
出处
《安徽医学》
2009年第7期780-782,共3页
Anhui Medical Journal
关键词
输尿管镜
钬激光
尿道狭窄
Ureteroscopy
Holmiun laser
Urethral Stricture
