经尿道绿激光瘢痕汽化与尿道狭窄内切开及电切术治疗尿道狭窄的疗效比较

A comparision of green light laser with endoscopic urethrotomy and electronic incision in the treatment of urethral stricture

目的比较经尿道绿激光瘢痕汽化与尿道狭窄内切开及电切术治疗尿道狭窄的疗效。方法分析33例经尿道绿激光瘢痕汽化(A组)和41例尿道狭窄内切开及电切术(B组)治疗尿道狭窄的临床资料。比较两组手术时间、住院时间、手术有效率、并发症的发生率、术后最大尿流率、术后尿道扩张次数的差异。结果两组间的手术时间、手术有效率和术后最大尿流率差异无统计学意义(P>0.05),但A组住院时间、手术并发症的发生率、术后尿道扩张的次数显著少于B组(P<0.05)。结论经尿道绿激光瘢痕汽化优于尿道狭窄内切开及电切术治疗尿道狭窄。

Objective To compare the therapeutic effect of green light laser with endoscopic urethrotomy and electro-incision in the treatment of urethral stricture. Methods 33 cases underwent green light laser （group A）, and 41 cases underwent endoscopic urethrotomy and electro-incision （group B）. Operative time, hospitalization day, the successful rate of operation, occurrence of complications, Qmax after the operation and the times of urethral dilation were analyzed retrospectively. Results The two groups had no sig- nificant difference in operative time,the curative rate and maximum flow rate of urine. However group A had significant less complication rate, shorter hospital stay and less urethral dilatation than group B. Conclusions Green light laser is superior to endoscopic urethrotomy and electro-incision in respect of therapeutic effect in the treatment of urethral stricture.