钬激光治疗尿道肉阜158例临床分析

Clinical analysis on resection of urethral caruncle by holmium:YAG laser:a report of 158 cases

目的探讨钬激光治疗尿道肉阜的疗效及特点。方法回顾性分析用德国Dornier公司的脉冲式钬激光治疗158例尿道肉阜患者的临床资料,探讨其疗效及特点。结果158例患者均经一次治疗后治愈,无尿道口狭窄、局部瘢痕形成、尿道阴道瘘等并发症及复发。结论钬激光治疗尿道肉阜,操作简便、定位准确、止血效果好、对周围组织损伤轻微、创面愈合快,值得推广应用。

Objective To observe the effect and characteristic of holmium： YAG laser in treatment of urethral caruncle.Methods Clinical data of 158 patients treated by German Dornier holmium： YAG laser for resection of urethral caruncle were retrospectively analyzed.Results All the cases were cured for one time.No complication,such as stricture on the peristome of urethra,local scar,urethrovaginal fistula and so on,and no recurrence were observed during follow-up.Conclusion The technique of treatment of urethral caruncle with holmium： YAG laser is an effect and safe therapeutics with the characteristic of easy to operate,improved visualization,excellent homeostasis,minimal thermal damage to surrounding tissue,shorter period of recovery,which is worth being spread.