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目的探讨经尿道冷刀切开加绿激光治疗尿道狭窄与闭锁的可行性和疗效。方法尿道狭窄与闭锁患者40例,均采用经尿道冷刀内切开加绿激光汽化瘢痕治疗。结果40例手术均顺利完成,手术时间30～80min,术后住院6～8d。随访3～6个月,36例患者术后排尿通畅,4例行尿道扩张后排尿通畅。结论经尿道冷刀切开加绿激光治疗尿道狭窄与闭锁简单易行,疗效安全可靠。
Objective To investigate the feasibility and efficacy of transurethral cold knife incision plus green laser in the treatment of urethral stricture and atresia. Methods 40 cases of urethral stricture and atresia were treated with transurethral cold knife incision plus green laser vaporization scar. Results All the 40 cases were successfully completed. The operation time was 30 ~ 80min and the postoperative hospital stay was 6 ~ 8d. All patients were followed up for 3 to 6 months. 36 patients had clear voiding after operation, and 4 patients had clear voiding after urethral dilation. Conclusion Transurethral cold knife incision plus green laser treatment of urethral stricture and atresia easy, safe and reliable.