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目的:探讨输尿管镜联合铥激光内切开治疗尿道狭窄的疗效。方法:尿道狭窄或闭锁36例,采用输尿管镜联合铥激光行尿道内切开,汽化切除尿道瘢痕组织,恢复尿道的连续性,观察其临床疗效及并发症。结果:手术时间10~90 min,平均35 min,术后留置尿管2~6周后均排尿通畅,无尿失禁。随访4~24个月,平均12个月。27例患者无需尿道扩张,5例患者拔管后出现尿线变细,经定期尿道扩张后治愈,3例因未及时行尿道扩张需再次行尿道内切开术,1例行尿道狭窄段切除成形术。结论:输尿管镜联合铥激光行尿道内切开治疗短段尿道狭窄,安全有效,并发症少,住院时间短,亦可作为严重尿道狭窄、尿道闭锁的可选治疗手段,早期疗效良好,但远期效果尚待观察。
Objective: To investigate the efficacy of ureteroscopy combined with laser laser incision in the treatment of urethral stricture. Methods: Thirty six cases of urethral stricture or atresia were treated by ureteroscope combined with 铥 laser in urethral incision. The urethral scar tissue was removed by vaporization and the urethral continuity was restored. The clinical curative effect and complications were observed. Results: The operative time ranged from 10 to 90 minutes (average 35 minutes). Urinary incontinence was achieved after 2 to 6 weeks of operation. Follow-up 4 to 24 months, an average of 12 months. 27 cases of patients without urethral dilatation, 5 patients after extubation, urine thinning, urethral stricture was cured by regular dilatation, 3 cases were not urethral dilatation required re-urethrotomy, 1 case of urethral stricture resection Angioplasty. Conclusions: Ureteroscopy combined with 铥 laser in the treatment of short urethral stricture is safe and effective, with fewer complications and shorter hospital stay. It can also be used as an alternative treatment for severe urethral stricture and urethral atresia. Early curative effect is good, but far The effect is yet to be seen.