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目的探讨输尿管狭窄腔内治疗(钬激光内切开、球囊扩张、输尿管扩张器扩张、输尿管硬性扩张)的临床疗效。方法收集本科室2010年1月至2015年1月收治的628例输尿管狭窄患者临床资料,统计并分析相关手术指标、术后并发症及恢复情况等。结果手术时间5.5~29 min,平均16.5 min,无输尿管撕脱、断裂、大出血等严重并发症。随访时间6~36个月,628例中临床治愈591例(94.1%);29例(4.6%)术后狭窄复发,再次腔内治疗;8例(1.3%)转开放手术或其他治疗方法。结论输尿管狭窄腔内治疗多样化,钬激光内切开具有手术时间短、并发症少、创伤小、可重复性等优点,是安全有效的治疗方法。
Objective To investigate the clinical effects of endovascular treatment of ureteral stricture (holmium laser incision, balloon dilatation, dilatation of ureter, dilatation of ureter). Methods The clinical data of 628 patients with ureteral stricture admitted from January 2010 to January 2015 in our department were collected and the related operation indexes, postoperative complications and recovery were analyzed and analyzed. Results The operation time ranged from 5.5 to 29 minutes, with an average of 16.5 minutes. There were no serious complications such as ureteral avulsion, rupture and hemorrhage. The follow-up time ranged from 6 to 36 months. Of 628 patients, 591 (94.1%) were clinically cured; 29 (4.6%) patients had recurrent stenosis and were treated with endovascular treatment again; and 8 (1.3%) were transferred to open surgery or other treatments. Conclusion The variety of intraurethral ureteral stricture treatment, holmium laser incision with short operative time, fewer complications, less trauma, repeatability, etc., is a safe and effective treatment.