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目的探讨膀胱尿道软镜联合绿激光治疗前列腺增生术后后尿道狭窄与闭锁的临床疗效。方法使用绿激光对经膀胱尿道软镜检查明确诊断的前列腺增生术后后尿道狭窄或闭锁的患者19例,行经尿道狭窄段或闭锁段绿激光汽化术。其中前列腺摘除术后后尿道狭窄10例,经尿道前列腺电切手术后9例。术后留置尿管1周～1个月。结果 19例患者手术均一次性成功,手术时间25～90 min,平均67 min,随访6～18个月,16例患者一次治愈或术后仅需2～3次尿道扩张后治愈,其余3例患者经多次定期尿道扩张后4～8个月内治愈。无尿失禁患者出现。结论膀胱尿道软镜联合绿激光治疗前列腺增生术后后尿道狭窄与闭锁安全有效。
Objective To investigate the clinical efficacy of bladder and urethra soft-lens combined with green laser in the treatment of posterior urethral stricture and atresia. Methods Nineteen patients with posterior urethral stricture or atresia with benign prostatic hyperplasia diagnosed by cystoral urethra soft-ware examination were treated with green laser. Green transurethral vaporization was performed in the transurethral stricture or the atresia segment. After prostatectomy, urethral stricture in 10 cases, transurethral resection of the prostate in 9 cases. Postoperative catheter 1 week ~ 1 month. Results All the 19 patients were operated successfully in one time. The operation time was 25-90 min (mean 67 min). The follow-up ranged from 6 to 18 months. Sixteen patients were cured at one time or only 2 to 3 times after urethral dilatation. The remaining 3 patients Patients after repeated regular urethral dilation within 4 to 8 months to cure. Patients with urinary incontinence appear. Conclusions Bladder urethral soft-lens combined with green laser in the treatment of benign prostatic hyperplasia posterior urethral stricture and atresia are safe and effective.