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目的:探讨采用输尿管镜下钬激光内切开治疗尿道下裂术后狭窄的临床效果。方法:回顾分析2002/2008年7例尿道下裂术后尿道狭窄的临床病例资料。我们全部采用输尿管镜下钬激光内切开治疗,术后间断行尿道扩张治疗0.5 a左右。结果:7例术后均效果良好,术后排尿通畅,呈直线,多次超声检测未见残余尿,无尿瘘等并发症,术后随诊12~24个月,效果明显。结论:输尿管镜下钬激光内切开治疗尿道下裂术后狭窄是一种安全,简便,疗效肯定的治疗方法。
Objective: To investigate the clinical effect of ureteroscopic holmium laser endotracheal stenosis after hypospadias surgery. Methods: The clinical data of 7 cases of urethral stricture after hypospadias surgery in 2002/2008 were retrospectively analyzed. We all use ureteroscopic holmium laser endotomy treatment, intermittent urethral dilatation surgery after 0.5 a. Results: All of the 7 cases achieved satisfactory results after operation. The postoperative urination was smooth and linear. There was no residual urine or no other complications of urinary fistula after multiple ultrasound examination. The follow - up was obvious after 12 to 24 months of follow - up. Conclusions: Ureteroscopic holmium laser endotracheal stenosis after hypospadias is a safe, simple and effective method of treatment.