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目的探讨钬激光联合电切治疗尿道狭窄的临床应用效果。方法 60例尿道狭窄患者,随机分成对照组和观察组,各30例。观察组给予钬激光联合等离子电切镜电切治疗,对照组采用传统开放手术治疗。观察两组患者的治疗效果并记录比较术中、术后的主要观察指标。结果观察组患者的术中出血量、手术时间、术后并发症发生率、导管留置时间以及住院时间等指标均显著优于对照组,差异有统计学意义(P<0.05)。但两组患者的治愈率分别为93.3%和90.0%,比较差异无统计学意义(P>0.05)。结论钬激光联合电切治疗尿道狭窄是一种安全有效的方式,具有创伤小、恢复时间快,更易被患者所接受的优点,值得临床推广应用。
Objective To investigate the clinical effect of holmium laser combined with electrotomy in the treatment of urethral stricture. Methods 60 cases of urethral stricture were randomly divided into control group and observation group, 30 cases each. The observation group was given holmium laser combined with plasma resectoscope and the control group was treated by traditional open surgery. The therapeutic effects of the two groups were observed and the main indexes of intraoperative and postoperative were recorded. Results The intraoperative blood loss, operation time, incidence of postoperative complications, catheter indwelling time and hospital stay in observation group were significantly better than those in control group (P <0.05). However, the cure rates of the two groups were 93.3% and 90.0% respectively, with no significant difference (P> 0.05). Conclusion Holmium laser combined with electrosurgical treatment of urethral stricture is a safe and effective way, with the advantages of less trauma, faster recovery time and more acceptable to patients, which is worthy of clinical application.