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目的探讨经尿道钬激光联合汽化术治疗男性尿道狭窄与闭锁的疗效。方法18例患者(其中尿道狭窄15例,尿道闭锁3例)采用经尿道钬激光联合汽化术治疗,狭窄长度0.5-2.0CM,观察其术中情况,术后并发症及疗效。结果18例患者14例一次手术成功,4例因再次狭窄行二次手术。16例获随访2-20个月,有6例需行尿道扩张3-6个月,均排尿通畅。结论经尿道钬激光联合汽化术治疗男性尿道狭窄与闭锁是一种安全,有效的微创治疗方法。
Objective To investigate the efficacy of transurethral holmium laser combined with vaporization in the treatment of male urethral stricture and atresia. Methods Eighteen patients (including 15 cases of urethral stricture and 3 cases of urethral atresia) were treated with transurethral holmium laser combined with vaporization. The length of stenosis was 0.5-2.0 cm. The intraoperative situation, postoperative complications and curative effect were observed. Results Of the 18 patients, 14 had a successful operation and 4 had a second operation due to a second stenosis. Sixteen patients were followed up for 2-20 months. Six patients underwent urethral dilation for 3-6 months. All of them had urination. Conclusion Transurethral holmium laser combined with vaporization in the treatment of male urethral stricture and atresia is a safe and effective minimally invasive treatment.