论文部分内容阅读
目的探讨经尿道KTP/532激光治疗尿道闭锁的疗效。方法使用新型KTP/532激光对18例男性尿道闭锁患者进行经尿道汽化瘢痕切除。年龄19~61岁,平均35岁。尿道闭锁原因:骨盆骨折合并后尿道断裂16例,球部尿道骑跨伤2例。病程10个月~4年。闭锁长度1.6~2.5cm,平均1.9cm。术后均留置导尿管4~8周,拔管后行尿流率等检查。结果手术均一次成功,手术时间20~60min,平均35min。除1例出现少量尿外渗外,余17例未出现并发症。随访2~6个月,16例一次治愈,排尿通畅,Qmax均>15ml/s;2例拔除尿管后2周尿线变细,Qmax<9ml/s,行定期尿道扩张后治愈,Qmax>15ml/s。结论经尿道新型KTP/532激光治疗尿道闭锁安全有效,手术操作简便,恢复快,并发症少。
Objective To investigate the efficacy of transurethral KTP / 532 laser in the treatment of urethral atresia. Methods Twenty-eight male urethral atresia patients underwent transurethral vaporization scar excision with a new KTP / 532 laser. Age 19 ~ 61 years old, average 35 years old. Urinary tract atresia: pelvic fracture with urethral rupture in 16 cases, 2 cases of ball urethra riding injury. Duration of 10 months to 4 years. Latch length of 1.6 ~ 2.5cm, an average of 1.9cm. After catheterization were placed 4 to 8 weeks, after extubation urinary flow rate examination. Results The operation was successful. The operation time was 20-60 minutes with an average of 35 minutes. In addition to a small amount of urine extravasation, the remaining 17 cases did not appear complications. Qmax was> 15ml / s in 2 cases, followed up for 2 ~ 6 months. Six cases were cured once and urination was smooth with Qmax> 15ml / 15ml / s. Conclusions Transurethral KTP / 532 laser treatment of urethral atresia is safe and effective, and the operation is simple, quick and less complicated.