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目的针对新疆地区基层医院的尿道狭窄患者进行双极等离子尿道内切开治疗,记录治疗过程观察临床治疗效果。方法采取回归性分析方法,针对本院过去92例尿道狭窄的患者进行双极等离子尿道内切开治疗方式进行病症干预,以上患者资料均属患者及患者家属自愿提供。结果本院收集的92例患者中存在85例手术成功的患者资料,在85例患者中存在69例首次腔内手术成功病例;另外还存在10例尿道狭窄病症复发的患者进行了再次手术治疗;另外还有6例患者因为执行腔内手术失败更改为开放式的手术治疗。接受手术治疗后患者都采取了定期进行尿道舒张的干预治疗,其中32例患者在进行腔内手术治疗后的2到5个月内进行了关于尿流率的复查检验,患者中尿流率最高者在14到35(210.5±7.96)ml/s,患者的平均尿流率在10到24(15.92±5.82)ml/s之间。结论针对新疆地区的尿道狭窄患者采取了基层医院进行的双极等离子尿道内切开治疗方式是十分有效的,整体的操作过程对患者的伤害小、效率高,是非常值得在临床中推广的科学治疗方式。
Objective To investigate the clinical effect of bipolar plasma urethral incision in patients with urethral stricture in grassroots hospitals in Xinjiang. Methods A retrospective analysis was conducted to investigate the intervention of bipolar plasma urethral incision in 92 patients with urethral stricture in our hospital in the past. All the above data were provided voluntarily by patients and their relatives. Results Of the 92 patients collected in our hospital, 85 cases were successfully operated. There were 69 cases of first successful endovascular surgery in 85 cases. In addition, 10 cases of urethral stricture recurrence were treated surgically. In addition, 6 patients underwent open surgery because of failed endovascular procedures. After surgery, all patients received regular interventions for urethral relaxation. 32 patients underwent repeat medical examinations of uroflow rates within 2 to 5 months after endovascular surgery, with the highest rate of urinary flow Between 14 and 35 (210.5 ± 7.96) ml / s, patients had an average flow rate of 10 to 24 (15.92 ± 5.82) ml / s. Conclusion It is very effective to take the bipolar plasma urethrocyte incision in primary urethral stricture patients in Xinjiang. The whole procedure is less harmful to patients and has high efficiency. It is worth to be promoted in the clinic treatment.