论文部分内容阅读
目的探讨电子输尿管镜联合2μm激光治疗尿道狭窄的疗效。方法山西大医院2012年1月至2014年8月采用电子输尿管镜联合2μm激光治疗尿道狭窄30例(长度1.0~2.5 cm,平均1.3±0.4 cm),术后6周拔除尿管,定期尿道扩张4~6次。结果本组30例,1次手术成功率100%,手术时间20~60 min,平均(34±9)min,拔除尿管后最大尿流率(Qmax)为15.9~25.5 ml/s,平均(21.2±3.2)ml/s。全部病例均未出现严重出血、尿道穿孔、假道形成、尿瘘、直肠损伤、尿失禁等并发症。随访4~12个月,29例术后无复发和再狭窄,最大尿流率(Qmax)均>15 ml/s,膀胱残余尿量<50 ml,1例术后3个月尿线变细,行膀胱镜下尿道扩张后治愈。结论电子输尿管镜联合2μm激光治疗尿道狭窄,手术视野清晰、创伤小、并发症少、效果明显、安全可靠,近期疗效满意。
Objective To investigate the efficacy of electronic ureteroscope combined with 2μm laser in the treatment of urethral stricture. Methods From January 2012 to August 2014, 30 patients with urethral stricture (1.0 ~ 2.5 cm in length and 1.3 ± 0.4 cm in average) were treated with electron ureteroscope combined with 2μm laser. The catheter was removed 6 weeks after operation and regular urethral dilatation 4 to 6 times. Results The success rate of the first operation in this group was 100%, the operation time was 20-60 min (mean, 34 ± 9) min, and the maximum blood flow rate (Qmax) after catheter removal was 15.9-25.5 ml / s. The mean 21.2 ± 3.2) ml / s. No severe bleeding, urethral perforation, false passage formation, urinary fistula, rectal injury, urinary incontinence and other complications occurred in all cases. All patients were followed up for 4 to 12 months. No recurrence or restenosis was found in 29 patients. The maximum Qmax was> 15 ml / s, residual urinary bladder volume was <50 ml, and one patient had thinner urine at 3 months Cystoscopy urethral dilatation cured. Conclusions Electronic ureteroscopy combined with 2μm laser treatment of urethral stricture, clear surgical field, less trauma, fewer complications, the effect is obvious, safe and reliable, the recent satisfactory results.