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目的:探讨输尿管镜下钬激光内切开术治疗输尿管狭窄的方法及疗效。方法:我院2008年5月～2012年1月采用经输尿管镜钬激光内切开治疗38例输尿管狭窄,术中留置双J管,术后3～5个月拔除双J管,拔管后3个月进行超声、排泄性尿路造影检查。结果:术后38例随访3～12个月;32例治愈(治愈率84.2%),4例治疗好转,2例无效。结论:输尿管镜下钬激光内切开加留置双J管治疗输尿管狭窄,是一种疗效确切、安全、微创的手术方法。
Objective: To investigate the method and efficacy of ureteroscopic holmium laser endotomy for the treatment of ureteral stricture. Methods: From May 2008 to January 2012, 38 cases of ureteral stricture were treated by ureteroscopic holmium laser, and double J tube was placed during operation. Double J tube was removed 3 to 5 months after operation. After extubation 3 months for ultrasound, urinary tract urography examination. Results: 38 cases were followed up for 3 to 12 months; 32 cases were cured (cure rate 84.2%), 4 cases improved and 2 cases were ineffective. Conclusions: Ureteroscopic holmium laser endotracheal intubation plus double J tube for the treatment of ureteral stricture is an effective, safe and minimally invasive surgical method.