内镜下钬激光结合电切治疗尿道狭窄或闭锁(附43例报告)

Endoscopic treatment of urethral stricture and atreturethria with Holmium laser combined with transurethral electronic incision (a report of 43 cases)

目的提高内镜下钬激光结合电切治疗尿道狭窄或闭锁的手术成功率。方法总结43例患者在该院行内镜下钬激光结合电切治疗尿道狭窄或闭锁的经验,并分析其疗效及技术要点。结果37例1次手术成功,无并发症出现,6例狭窄复发而重复治疗,其中1例经2次腔内手术后再狭窄改开放手术治愈。结论内镜下钬激光结合电切治疗尿道狭窄具有安全、有效、并发症少、微创的优点。术后定期尿道扩张,可减少狭窄复发。

[Objective] To evaluate the clinical efficacy of endoscopic treatment of urethral stricture and atreturethria with Holmium laser combined with transurethral electronic incision. [Methods] The clinical data of 43 patients with urethral stricture and atreturethria who underwent Holmium laser combined with transurethral electronic incision were analyzed. [Results] 37 cases were cured by a single operation, 6 cases needed a second endoscopic incision for recurrent stricture after the first surgery, 1 of the 6 c...